KIT CONTENTS This year’s National High Blood Pressure Month Kit con- tains a wealth of information on ways people with high blood pressure (HBP) can con- trol the disease and reap the rewards. The kit is divided into three parts. PART ONE Yr Part one, contained in the fol- lowing pages, provides sugges- tions for planning your National HBP Month activi- ties. Also included are tips for working with the media, methods of evaluating HBP Month activities, ways to con- tinue HBP control efforts year round, and a list of additional resources. PART TWO Part two, located in the front pocket of the kit, contains the following items that can be re- produced to ensure an imme- diate supply of patient, professional, and consumer materials for your activities. Fact Sheets @ Handouts for Patients, Consumers, and Health Practitioners @ Media Materials @ Supplementary Materials PART THREE Part three, located in the back of the kit, contains reproducible artwork for use in newsletters, etc., and an evaluation and order form for evaluating this year’s kit and ordering free materials from the National High Blood Pressure Education Program. INTRODUCTION he theme for 1986 Na- tional High Blood Pressure Month is “Treat Yourself to Life” The contents of this kit are intended for use with hypertensive patients and suggest that a healthy and longer life is one of the rewards of adhering to treatment. This year’s kit con- tains information and mate- rials on actions hypertensives can take to control their high blood pressure (HBP) and reap the rewards. Community pro- grams and health professionals can expect many benefits from participating in 1986 HBP Month, such as: Improving visibility for your HBP control program. # Generating new ideas and revitalizing your program activities. @ Mobilizing local resources such as industry and volun- tary groups to help in the effort to control HBP @ Developing new working re- lationships with other orga- nizations to offer special HBP activities and events in May. By participating in HBP Month, you are joining thou: sands of others who make a special effort each year in May to emphasize HBP control. May 1986 is the 12th National HBP Month. This annual event, sponsored by the Na- tional High Blood Pressure Ed- ucation Program (NHBPEP} Coordinating Committee, is a broad-based effort of a large number and variety of organi- zations across the Nation. The scope of HBP Month expands every year, with more than 200 separate organizations and more than 900 of their of fices now participating. These organizations join you this year in focusing the attention of the public, health care pro- fessionals, and patients and their families on the rewards of high blood pressure control. HOW TO USE THIS KIT he 1986 National High Blood Pressure Month kit em- phasizes rewards of promoting and par ticipating in HBP con- trol in your community. The following pages provide helpful hints on how to plan, implement, and evaluate your HBP Month activities. Sugges- tions for different types of ac- tivities are included, all of which are intended to help you be creative. Tailor our sug: gestions to your environment, or use them to generate your own ideas. (And let us know how they work!) This year’s kit also contains supportive materials, each re- quiring additional action by users. For example, most HBP Month kit materials are re- producible. By reprinting these materials yourself, you will have a ready supply of easy-to- use professional, patient, and consumer publications to start your activities immediately. These materials are bound into a separate booklet located in the front pocket of the kit. These materials are only the beginning. The most impor tant ingredients in HBP Month are you, your community, and your commitment to HBP con- trol in May and all year long. “Oe YEAR-ROUND ACTIVITIES ontrolling HBP is a yearround effort. Many events can be arranged to raise HBP awareness during May, but activi ties that continue the mo- mentum can be scheduled dur ing the other 11 months. Sug gestions for activities include: @ Organizing a self-help group for hypertensives who will share ideas about changing their lifestyles. # Finding health professionals to write newspaper or jour nal articles or to answer questions from readers ina regular column. # Writing a message about HBP and having it printed on bookmarks or bumper stickers. @ Asking a local grocery to sponsor a blood pressure screening program. Provide volunteers to assist in read ing and interpreting food la- bels for interested customers. # Making certain people in your community know where they can get their blood pressure measured and how they can take their own blood pressure and that of others. @ Locating or starting an inter: generational program where young people and senior cit- izens can work together and assist with blood pressure monitoring. @ Obtaining an adequate sup- ply of publications and posters from the NHBPEP and other organizations. Find new places to make these materials available to the public. Be sure that these items are available in quantity for large, public events. Know the people and orga- nizations involved in HBP ac tivities. Keep the lines of communication open, and ex pand your network to help hy- pertensives stay on their treatment. EVALUATION TECHNIQUES eviewing the results of previous HBP Month efforts can provide the basis for objective planning of new activi- ties. Compare the results of each activity with its orig- inal intent, and determine the effectiveness of each activity. This ongoing process can pro- vide further information for continuously refining and im- proving future efforts. Identifying and diagnosing problems The initial response to HBP Month activities may indicate a need for modification or ad- justment. Be flexible. For ex- ample, low rates of success in finding undiagnosed hyperten- sives may indicate that screen- ing sites or promotion strategies should be changed to match the target population. Selecting effective activities When decisions are made to repeat certain HBP activities, those that were most effective and best received by the spe- cific target audience are usu- ally at the top of the list. By carefully observing the ele- ments that contributed to the success of a given activity, pro- gram administrators often can improve less effective HBP ac- tivities and advise other com- munity groups that are planning similar projects. Fel Evaluating educational efforts The effects of educational efforts, such as patient or con- sumer HBP education classes, may not be as easy to measure as some other activities. How- ever, you can still learn from them and improve future edu- cational efforts. For example, give the participants a simple question-and-answer quiz be- fore and after the class to de- termine their understanding of the material presented. Pay at- tention to informal feedback from participants and staff to gain information about how your activities are received. Gaining and maintaining support You can use information col- lected on the effectiveness and usefulness of your activities to demonstrate your progress and accomplishments to funding sources, consumers, business leaders, and other program constituents. You may gain ad- ditional support and funding for your activities by present: ing evaluation information in a written or oral report to these groups. Cooperating with others Lessons learned about local re- sponse to activities or prob- lems in service delivery can and should be shared with other organizations working in your community. Coopera- tion with other local groups improves areawide HBP con- trol and prevents duplication of effort. In summary, the evaluation information gained from your HBP activities will enhance the quality of your decisions about future projects. Learning from the results of past proj- ects allows you to improve your procedures, allocate re- sources more effectively, work more efficiently with local or ganizations, and increase your credibility in the community. For more information on eval uation, a new guide entitled Measuring Progress in HBP Control: An Evaluation Hand- book is available from the NHBPEP (See the Evaluation and Order Form in this kit for ordering information.) WORKING WITH THE MEDIA he activities suggested are important mech- anisms for spreading the word about high blood pressure control. How- ever, interest and par ticipation in your activities will depend on how well you publicize the events. By work ing with your local media, you can improve the effectiveness of your program and increase awareness of your organiza- tion’s commitment to HBP control. The channels for publicizing your message are often close at hand, and spring is the ideal time to approach the media with HBP news. The following tips will prove useful in work ing with the media and gener ating publicity for individual activities and for your program as a whole during May and throughout the year. 4 Develop a Media List The first step in any media relations work is getting orga- nized. Start by gathering a comprehensive list of the me- dia in your area, using the lo- cal media directories in your town’s library or personnel at the local chamber of com- merce for listings. Organize your list by the type of media — radio and tele- vision stations, newspapers, magazines, and community newsletters. Note the address and telephone number of each entry, and list the specific pro- ducers, editors, and reporters by name, noting their spe- cializations when possible. For example, there may be health and nutrition writers at your local newspaper. If smaller daily and weekly papers do not have specific reporters as- signed to cover these topics, contact the assignment or city editors. Other names impor tant to note for broadcast me- dia are those of public affairs, public service, and news direc- tors. Take the time to call each publication and broadcast sta- tion to determine the names of these media contacts. Once you have compiled a media list, be sure to update it periodically. fos we Establishing your list of con- tact names is only the first part of the organizational process. A comprehensive list indicates almost at a glance the extent to which the contacts can be used in your media relations efforts. Accomplishing this re- quires noting details about each contact and their pro- gramming or editorial requirements. If broadcast stations air pub- lic affairs programs, note whether the shows are live or taped, when they air, and if they accept guests. If they don’t accept guests, suggest a call-in show on high blood pressure. Be sure to inquire about their public service an nouncement (PSA) schedule, and use the announcements made available in the enclosed media materials. For publications on your list, include copy deadlines, publication dates, and spe- cialized sections focusing on health, food, or lifestyle. This information will give direction to your media efforts and will enhance the coverage your program receives. ——“ZrF- Approach the Media Your next step is the most important aspect of media re- lations. Members of the media are generally very busy. They will be more interested in your information if you are brief, to the point, and provide news of interest to their readers. The news releases included in this kit are written so you can tai- lor them to your local area. Take advantage of the oppor tunities of National High Blood Pressure Month to gain publicity for your program and to increase community aware- ness of new developments in HBP control. # Reproduce news releases or PSAs on your organization's stationery. @ Follow the format indicated, and make sure everything you send out looks perfect. Check for misspellings and typos. # Address all materials to the specific names you compiled through your directory re- search and telephone calls. @ Inciude relevant background information if necessary to communicate the complete story. # Allow four to seven days for the materials to arrive, and then call each person to whom it was sent. Ask if they received the informa- tion. If they haven't, briefly explain the gist of your story. If they have, offer your assistance in answer. ing any questions they might have. % Highlight points that em- phasize the importance of this information to the community. Suggest an interview with a local expert on high blood pressure control, if appropriate. @ Thank contacts for their in- terest and time, especially if a story is aired or printed. Schedule Talk Show Placements Television and radio talk shows and public affairs pro- grams are ideal channels for creating awareness. Experts on hypertension issues, orga- nizers of special health events, and nurses who monitor prog- ress in hypertension control are good examples of appropri- ate guests. Approach program producers with your ideas for guests using these guidelines. # Send a concise letter intro- ducing your group, spokesperson, and subject. Call your contact to ensure that he or she has received the materials. # Expand on the importance of the issue to the com- munity during your call. @ Elaborate on your spokesperson’s expert knowledge of the subjects at hand. @ Ask if the producer has any available time to interview your spokesperson. Confirm a date for airing or taping. # Thank your contact with a note after the interview. Arrange Public Access Cable Programming Cable television presents unique opportunities for com- munities outside larger media market areas. Use of public ac- cess stations is growing in popularity as more and more viewers tune in to special ca- ble television programs. If you are served by cable television, consult a source such as your local chamber of commerce to determine who the cable fran- chiser is in your area. Then contact the operator to deter mine if they provide com- munity programming. If they do, the operator can probably help your group produce a pro- gram, usually free of charge. Operators may schedule a reg- ular program on health issues, for which your group can as- sist with topic suggestions, guest scheduling, etc. Each of these media chan- nels — publications, radio and television stations, and cable systems — can help you spread the news about high blood pressure control and upcom- ing events. Follow these guide- lines, and use the media materials we have provided with this kit. By working with the media, you can make this May the most successful Na- tional HBP Month ever and help people throughout your community learn how to treat themselves to life. SUGGESTED ACTIVITIES any of the activities suggested in this kit will be appropri- ate for the follow: ing audiences: health ties, business and indus- try, and community group pro- grams. You and your organiza- tion will want to select activities that meet the needs of the people you want to reach. Projects should be prac- tical and should directly serve and affect your intended audience. Most of the suggestions in this guide require advance planning and thoughtful ex- ecution. You will need time, help, and commitment from others to carry out your plans. Most likely, you will begin by thinking of many more ideas than you can possibly accom- plish. Limit your final choices to those yielding the most re- sults where you most need them. A few well-planned proj- ects will have the most im- pact. Keep records of how you organized your activities, and document the results. This will help you to repeat the process and to tell others about your success. The following three catego- ries constitute audiences for your HBP Month activities. Once reached, however, they become potential partners in your HBP control efforts. Health Professionals and Facilities @ Schedule a forum during HBP Month to present the professionals and facili- # Target special messages to HBP patients encouraging each to “Treat Yourself to Life” by following their doc- tors’ advice, taking their prescribed medications, and making healthy changes in their lifestyles. @ Develop a list of ongoing community activities that professionals can use to help their HBP patients with nonpharmacologic approaches, e.g., classes on smoking cessation, exercise to lose weight, and cooking with low or no salt. @ Arrange for one or more re- source persons (e.g., physi- cian, nutritionist, patient educator, nurse clinician, pharmacist, or dietitian) to speak to professional orga- nizations about particular aspects of HBP control. # Arrange to show a film or videotape addressing some aspects of HBP control. @ Place articles about high blood pressure in local health professional newslet- ters and journals. Re- member to include the names of the participating organizations and sponsor ing individuals so that inter ested readers can obtain additional information. @ Approach local radio or tele- vision stations about airing live, phone-in programs where panels of medical ex- perts can answer questions from the audience about HBP Print articles in employee newsletters. # Display materials from the HBP Month kit in the caf eteria and hallways and on bulletin boards where em- ployees congregate. # Post listings of times and places where employees can have their blood pressure measured free of charge. # Sponsor “brown bag” semi- nars once a week during May (or once a month all year), and invite resource persons to speak about diet, exercise, and other aspects of HBP control. # Organize employee classes in exercise, smoking cessa- tion, or healthy cooking be- fore and after work. # Integrate your programs for employees with other com- munity resources. For ex- ample, bring some of the educational programs from the American Heart Asso- ciation and the American Red Cross to the worksite. # Make “heart healthy” foods available in your cafeteria and vending machines, and provide printed information or signs about their caloric content. # Work with county or local medical societies to coordi- nate a screening program for employees to have their blood pressure measured at the worksite. Consult the American Heart Association about their “Heart at Work” program. HBP in the community. You may be able to coordinate this with other agencies, hospitals, or community or ganizations. Remember that the more people involved in this effort will result in more hypertensives being reached. Schedule radio, television (public, network, or cable}, or newspaper interviews for community program leaders or health professionals to address the theme and goals of 1986 HBP Month. @ Hold a town meeting where state officials, business lead- ers, members of the medical community, and consumers can talk about 1986 HBP Month. @ Make educational materials available at libraries, gro- cery stores, church groups, schools, etc. # Find new ways to reach high-risk individuals to see if they are controlling their HBP (e.g., truckstops, un- employment offices, motor vehicle administrations, fire stations, barber shops, church-sponsored screen- ings, etc.}. Other Groups Other groups may want to work with you on educational activities during HBP Month and throughout the year. You may wish to contact other or ganizations to join in your HBP control efforts. Suggested organizations, to name just a few, include: civic groups, latest guidelines for the di Business/industry agnosis, treatment, and community health centers, co Community Groups ; operative extension services, # Reproduce materials from prevention of HBP or to ad- dress one or more major is- sues facing professionals as they work with treated patients. the HBP Month kit (e.g., payroll stuffer and pam- phiets], and distribute them as handouts to management and/or employee groups. Organize an open house or other awareness activity to focus on your organization's effort to detect and control health professional schools, professional organizations, rural organizations, churches, and synagogues. he theme for 1986 Na- tional High Blood Pressure Month, “Treat Yourself to Life?’ offers voluntary agencies, health care organizations, and other groups the opportunity to spread a positive message to patients and the public about the benefits of improving health and lifestyle while con- trojling high blood pressure. The following planning tips will help you communicate this message to organizations and individuals in your community. Know Your Network Find out which groups in your community are involved in HBP control. Remember to sur vey the public, private, and voluntary sectors. List the kinds of services they provide, the populations they serve, and any other important infor mation you can obtain. This first step may help to identify potential collaborative efforts, provide you with additional re- sources, and eliminate duplica tion of activities. Cooperate and Coordinate Reach out to meet and ex- change ideas and program de tails with these groups. In doing so, you will set the foun dation for working together during HBP Month and, ideally, all year long. Focus Your Activities Determine which activities your program is able to offer to meet the community's needs and complement other HBP control efforts. For example, additional detection and refer ral sites may be needed in communities with significant numbers of persons at high risk for HBP (e.g., the elderly and minorities). Carefully con- sider those activities that are manageable and practical and can be completed in the avail able time. Plan Together Together with other participat- ing groups, agree on the most useful activities for the identi- fied target audience. Involve all the participants in planning and execution. Some activities will require several months of advance planning. You will need to: @ Schedule, recruit, orient, and train volunteers needed to staff classes, presenta- tions, or detection activities. @ Reproduce materials from this HBP Month kit, order ing additional materials well in advance from the NHBPEP and other sources, and distribute them to stim- ulate interest and inform others. @ Include HBP information in regularly scheduled com munications (e.g., mailings, payroll checks, and insur ance or utility bills} when appropriate. Call or visit editors and writers of newspapers and newsletters to place articles from the kit. Find out pub lication deadlines, and be prepared to meet them. @ Schedule radio, television, and newspaper interviews for resource persons to talk about HBP Or provide live announcer copy to selected radio stations serving your target audience. Support treated hyperten- sives all year in their effort to make difficult lifestyle changes. Changing lifestyle re- mains the single greatest chal lenge in HBP control today. Use the “Treat Yourself to Life” theme throughout the year to draw public or media attention to high blood pres- sure control. The activities and effort needed to increase the number of hypertensives reaching goal blood pressure are needed all year ADDITIONAL RESOURCES Zeer Materials Available From Other Sources Patient and Consumer Materials Cooking Without your Salt Shaker (book, 145 pages, 1979) Distinguishes between salt and sodium. Suggests that reduc- ing amount of sodium in foods, changing kind of fat, and decreasing amount of fat and cholesterol in diet will help reduce cardiovascular risk factors, including high blood pressure — a leading cause of heart and kidney disease, stroke, and heart attack. Con- tains tested recipes for low-salt and fat-modified appetizers, entrees, desserts, and snacks. Avallabiliry: local and state affiliates American Heart Association Order no. 53-002-A Cost information available from local and state affiliates hating for Your Health: A Guide to Food for Healthy Ltets (pamphlet, 16 pages, 1984) Utilizes color and large print to provide information for el- derly persons on reading food labels, using unit pricing, and keeping daily food charts. Gives background information for those on special diets {i.e., low-sodium, low-calorie, low- fat, or low-sugar). Provides a few recipes, and lists a num- ber of additional resources for information. Availability: American Association of Retired Persons 1909 K Street, NW Washington, D,C. 20049 (202) 728-4450 Free, single copies fhe Facts About How to Stay on your High blood Pressure [reatment (leaflet, 6 pages, 1980) Answers questions about rela- tionship between high blood pressure and medication, salt, diet, smoking, exercise, and doctor’s appointments. Pro- vides space to record high blood pressure reading, name of medication, and side effects of medication. Avaliability: National Kidney Foundatio of Iowa, Inc. 8611 Hickman Road Des Moines, lowa 50322 (800) 532-1177 in lowa (515) 276-3600 outside Iowa Free, single copies; $8 per 100 copies ffigh Blood Pressure and tou (pamphlet, 6 pages, 1979) Defines high blood pressure, essential and secondary hyper tension, and some causes. Briefly discusses general preva- lence of high blood pressure, complications that may occur if left untreated, asymptomatic nature, and medications and some side effects. Lists steps for hypertensive patients to take. Availability: American Heart Association Maryland Affiliate, Inc. 415 N. Charles Street PO. Box 17025 Baltimore, Maryland 21203 (301) 685-7074 Free, limited quantities Fotassium Food Sources for People With High Blood Pressure (leaflet, 4 pages, 1983} Discusses importance of po- tassium to persons on high blood pressure medication. Lists foods high in potassium and low in sodium that can be included in well-balanced diet. Includes number of servings, amounts of potassium and so- dium, and caloric content. Provides four high-potassium, low-sodium recipes. Avallabiity: Milwaukee Blood Pressure Program City of Milwaukee Health Department 7630 West Mill Road, Room 204 Milwaukee, Wisconsin 53218 (414) 353-1660 Free, up to five copies Watch your Blood / ’rESSU re! (booklet, 28 pages, revised 1983} Defines and describes blood pressure; its variability; sys- tolic and diastolic readings; and essential, secondary, and accelerating hypertension. Dis- cusses asymptomatic nature of high blood pressure; preva- lence by age, sex, and race; contributing factors; risk re- duction; and methods of treat- ment, including medications and side effects, diet, and exer cise. Stresses need to follow treatment regimen, and pro- vides patient guidelines for high blood pressure control. Ava ibis: Public Affairs Committee, Inc. 381 Park Avenue South New York, New York 10016 (212) 683-4331 $1; bulk rates available Mere f OUTSERES .. (leaflet, 4 pages, 1984) Contains quotes from black Americans encouraging read- ers to take their blood pressure medication every day, get their blood pressure checked reg- ularly, stay away from greasy foods, go easy on salt, and stay active. Bhs oho or daLIe Cale of Avatllability. American Heart Association of Greater Miami 5220 Biscayne Boulevard Miami, Florida 33137 (305) 751-1041 Free, single copies; $3.50 per 100 copies Other Sources of Information The following resources provide information services, such as publications and refer rals, to both consumers and health professionals. Please contact the organization directly. American tfleart Assoclahion local and state affiliates Provides information and refer ral services. Other community service programs include: diet and nutrition counseling; blood pressure screening; CPR training; smoking withdrawal clinics; information on emer gency medical services, stress- testing facilities, and exercise programs; and stroke rehabili- tation programs. Consumer Information Center Pueblo, Colorado 81009 (202) 566-1704 Distributes consumer publica- tions on topics such as chil- dren, food and nutrition, health, and weight control. The Consumer Information Catalog is available free from the center and must be used to identify requested publications. food and Drug Administration Office of Consumer Affairs Public Inquiries 5600 Fishers Lane (HFE-88) Rockville, Maryland 20857 (301) 443 3170 Answers consumer inquiries and serves as a clearinghouse for its consumer publications on a variety of topics including vitamins, food additives, and minerals. National Health Information Clearinghouse PO. Box 1133 Washington, D.C. 20013-1133 (800) 336-4797 outside Virginia (703) 522-2590 in Virginia Helps the public locate health information through identifica- tion of health information re- sources and an inquiry and referral system. Health ques- tions are referred to appropri- ate health resources that, in turn, respond directly to inquirers.