Community Project Intervention and Evaluation:

Addressing Heart Disease in Kent County for Men Ages 35-45

Presentation by: 

Jennifer GilbertLorinda GreerDawn JohnsonVirginia JordanJamie Kruger

 Deborah SchaeferRaimee Schertzberg

 Cindy Thornton 

Ferris State University

Problem Statement: Risk of heart disease among adult, male residents 35 to 45 years of age in Kent County, MI related to smoking, sedentary lifestyle, lack of education, and poor dietary intake as evidenced by higher incidence of hypertension, increased occurrence of hyperlipidemia, obesity, and diabetes.

 What Potential Evidence Based Practice

(EBP)Fits This Situation:

   • Obesity may lead to diabetes and hypertension

 • Hypertension, high insulin levels, high triglycerides,

and excess body fat will increase the risk of coronary artery disease (CAD).

Review of Evidence Relevant to the Proposed Intervention: 

  • Heart disease is the leading cause of death in the United States,

Michigan, and Kent County • The average weight of males in Kent County is 197 pounds and is

considered “more than average.” • Kent County has an obesity rate of 28.1 percent

 • The adult diabetes rate in Kent County is recorded as 8.6 percent

 • In 2009, the percent of residents in poverty in 2009 was 14.6

percent for Kent County revealing a need for free screenings for health promotion and disease prevention

Brief review of findings: 

Male residents of Kent County ages 35-45 have been identified to be at an increased risk of heart disease.

 Top risk factors identified:

• Age• Sex

• Family History• Smoking

• Hypertension• Hyperlipidemia

• Diabetes• Obesity

• Sedentary lifestyle• High stress

Target Population

Male residents of Kent County are targeted for this intervention secondary to the devastating effects that potential disability can have on the family.  Males in this age group are likely to be child rearing and income building.  The potential loss of life and income can pose a significant loss in security. Targeting this population could pose challenges because the age group may feel that they are young, healthy and do not need any intervention.  Any developed programs would need to be disguised as fun, men centered activities with a healthy theme.

 Proposed Community Intervention:

 

       

Yearly Community Health Fair to provide education and screening for heart disease

risks. 

    

Community Intervention

The focus is on young adult men ages 35-45 •  Hosting the event will be the David D. Huntington

YMCA in downtown Grand Rapids with an accessible and  convenient location

 •  The event will be held in the Spring when the weather

is nice and people are motivated to be active after the slow winter months

Community Sponsors

• American Heart Association- Midwest Affiliate

• Spectrum Health • St. Mary's• Metro Health• Kent County Health

Department• Ferris State University• YMCA

• Meijer• Dick's Sports• VanAndel Arena• Grand Rapids Press• WoodTV 8• West Michigan

Whitecaps• Grand Rapids Griffins

Community SponsorsThe following sponsors are committed to facilitate the

following preventative, screening and educational opportunities:

 Spectrum Health- Cholesterol screening

Metro Health- Blood pressureSt. Mary's-Diabetes Screening

AHA- Heart disease information and educationKent County Health Dept- Health assessments, data collection, pre-

screening and post-intervention surveysFSU Nursing Students- Nutritional education for heart health and diabetes

preventionMeijer- Cooking demonstrations for heart healthy foods

YMCA-physical activity education and exercise demonstrationsGRCC- culinary students to offer cooking seminars and healthy recipe ideas

Primary Prevention Involving Community Sponsors

 Local and community sponsors will set up and facilitate

booths providing the following services: 

•  Evaluation for risk of heart disease • Screening for blood pressure, high cholesterol, and

diabetes• Nutritional information and demonstrations• Exercise and physical activity information and

demonstrations• Heart Disease information and education• Education and support regarding smoking cessation

Secondary Prevention

In an effort to minimize the impact of a disease if realized during the screening process, the following options are available: • Follow-up appointment to be made with the participant's

primary care physician to address concerns • Visiting SpectrumHealth.org or contacting Spectrum Health at

1-616-391-5999 to be set up with a primary care physician at a convenient location

• Additional services and education through Cherry Street Health Services by visiting Cherrystreet.org or contacting (616)965-8200.

• Visiting Metrohealth.net for physician services 

 

Three on Three Basketball Tournament

  • Tie-in event to draw participants• Tournament to be held in YMCA parking

lot• Participants to receive Health Fair T-

shirts• Participants to receive a complementary

two week gym memberships to YMCA  

Event Logistics

• Those in attendance will visit booths and participate in screenings and education.

 • Raffle tickets will be given at each booth for

participation and entered into a drawing. • Prizes will be donated by our sponsors and include a 3

month YMCA membership, tickets to sporting events at the Van Andel Arena and White Caps games, workout equipment or gift certificates donated by sporting goods store, sports and energy drinks, energy bars.

   

Advertising

Local radio stations familiar to young adult populations

   

93.7(country)95.7 (adult rock and roll)

97.9 (rock)99.3 (Christian rock)96.1 (sports radio)

WYGR 1530AM (Urban Adult)

Advertising

Local television station WoodTV 8: 

 • Commercial advertising the event featuring local sportscaster celebrities Jack Doles and Larry Figurski

 • Sportscasters will also serve as local celebrities during

the event, possibly acting as emcees

AdvertisingNewspaper advertising in the Grand Rapids Press

  

•  2 Weeks prior to the event begin advertising in the sports section of Grand Rapids Press daily publications

 • The Sunday prior to the event an article of interest in the

Health Section of the Sunday edition featuring the event and persons of interest and sponsors                                                                                 

Local Factors Positively Affecting Health Promotion:

  • Spectrum Health

• Healthy Kent 2020• Kent County Parks

• YMCA of Greater Grand Rapids• Tobacco Free Partners

• Cherry Street Health Services    

Having access to resources can help ensure that healthy steps are being taken to reduce the risks of cardiovascular

disease.

 Local factors that are relevant to the

success of the proposed intervention are:  

• Unpredictable weather – rain and possible very cold weather• Spring Break- due to harsh winters families will be traveling • Limited Public Transportation- Limited to GRATA or Go bus.• High Religious Population – Church events causing scheduling

conflicts• Growing Hispanic Population – possible language barriers and

food preparation differences (Kent County, 2011) 

Relevant Change Modules•·       Awareness of the need for Change – Health Fair to bring awareness•·       Readiness for Change – Review of resources, interventions, and plan developed •·       Implementation of Change – Begin steps towards a healthier lifestyle •·       Barriers to Change – habits, cultural, work schedule, family, finances, resources, access to follow up health care visits, other underlying diagnosis that cause limitations•·       Reevaluation of Interventions – evaluations of interventions, adjust according to the patients needs•·       Lifestyle Chang Occurs – follows American Heart Associations guidelines to lower chances of heart disease

Evidence Based Ways to Prevent CAD:

Developing healthy lifestyle behaviors   

Weight Management     

Physical Activity 

      Tobacco Cessation          

Healthy Nutrition 

Positively Managing Stress

   

 American Heart Association 2020 Impact Goal is, “to improve the

cardiovascular health of all Americans by 20 percent while reducing deaths from cardiovascular disease by the

year 2020” (American Heart Association, 2011, para. 1).

Desired Outcomes:

By the Year 2020, Males in Kent county between the age of 35-45 will exhibit:

  

• 20% fewer rates of BMI’s greater than 25.• 20% fewer rates of smoking• 20% fewer rates of diabetes

• 20% fewer rates of hypertension• 20% fewer rates of hyperlipidemia• 20% increase in physical activity

 

Interim Outcomes

• Decreased Tobacco Product sales in Kent county 

• Decreased hospital admissions related to Diabetes 

• Decreased hospital admissions related to Heart Disease 

• Increased use of county recreational facilities 

Reportable data from Kent County Health Department will show interval improvements based on yearly responses  to health questionnaires.  • Improved Blood Pressure readings• Improved BMI's• Decreased use of tobacco products• Increased physical activity• Adequate glucose control• Improved cholesterol numbers

Approval to host a Heart Health Day at the YMCA located in downtown Grand Rapids would be obtained from Teila Bauer, Event and Promotion Coordinator of the David D. Hunting YMCA 

David D. Hunting YMCA 475 Lake Michigan Drive NWGrand Rapids, MI 49504

Early detection of heart disease is vital to the prevention of serious long-term heart complications, and a potentially fatal outcome. The number one method of early detection is a heart health screening.

Downtown Grand Rapids has a vast amount of activities to offer!  Come join the fun , be active, and GET HEART HEALTHY!Some of the events you could participate in include:• Griffin Hockey game• Sports show at Devos Place• Watch your favorite sports team at The Bob

References

American Heart Association.  (2011).  Research goals.  Retrieved from: http://my.americanheart.org/Professional/Research/AboutOurResearch/Research Goals_UCM_320223_Article.jsp

 Center for Disease Control and Prevention. (2011). Deaths and mortality. Retrieved from http://www.cdc.gov/nchs/fastats/deaths.htm

Center for Disease Control and Prevention. (2010). United States obesity rates. Retrieved from http://www.cdc.gov/Features/dsObesityAdults/

City-Data.com. (2010). Kent County, Michigan. Retrieved from http://www.city-data.com/county/Kent_County-MI.html 

References Downtown Grand Rapids. (2011).  Retrieved from http://downtowngr.org/ Grand Rapids YMCA. (2011). Retrieved from http://www.grymca.org/ddhunting/  Harkness, G.A. (2012). Community and Public health nursing practice: Evidence for Practice     Wolters, Kluwer/Lippincott, Williams & Wilkins: Philadelphia.                      Kent County Health Department (2008). Behavioral risk factor survey. Retrieved from http://www.accesskent.com/Health/HealthDepartment/Publications/pdfs/2008BRFS.pdf