Heart Attack and Stroke Education, Awareness, Rapid Response,
Quality Enhancement Through Science
Wake Forest University School of Medicine
The target population includes African American and Native
American adults residing in Robeson and Columbus Counties in North
Using the socioecologic model, which focuses on all aspects of
community-based outreach (e.g., individual, interpersonal, organization,
community, and public policy), this project will use both community-based and
clinic-based approaches to reduce the burden of cardiovascular disease (CVD) in
the targeted counties. Specific strategies include:
- Conducting educational activities with primary care physicians
to emphasize the use of low-cost drugs for CVD risk reduction.
- Conducting training programs with lay health educators who will
be responsible for CVD educational outreach.
- Conducting training programs for community-based organizations
to enhance their efforts in advocating for environmental policy changes.
- Conducting community-wide activities (e.g., health fairs for
screening and referral).
The proposed strategies will focus on all four National Heart,
Lung, and Blood Institute (NHLBI) performance goals:
- Prevent development of risk factors.
- Detect and treat risk factors.
- Recognize and treat acute coronary syndromes early.
- Prevent recurrence and complications of CVD.
The anticipated outcomes of this project are:
- Increased knowledge and improved attitudes and practices (KAP)
of primary care providers regarding low-cost hypertension and hyperlipidemia
- Increased clinic-based access to low-cost therapies for
patients with hypertension and hyperlipidemia.
- Development of a model for training community volunteers for
the dissemination of CVD prevention messages.
- Increased knowledge among high-risk individuals regarding CVD
risk reduction (reducing tobacco use, increasing physical activity, and
screening), and appropriate response strategies to address signs and symptoms
of health attack and stroke.
- Increased advocacy skills of community-based organizations in
developing and implementing health promotion environmental policy changes.
- Decreased proportion of individuals with undiagnosed
hypertension, hyperlipidemia, and Type 2 diabetes.
- Increased number of persons with diagnosed and undiagnosed
diabetes that receive appropriate risk factor management education.
- Increased state-of-the-art acute coronary care provided to
- Increased KAP of individuals regarding the early warning signs
and appropriate response techniques for acute coronary syndromes.