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ENCSN Community Prevention Education Workgroup


Workgroup Goal: "Coordinated and diverse community education conducted in each county at least twice annually on stroke prevention and recognition."

Workgroup chair: Jo Morgan, djmorgan@pittcountync.gov, (252) 902-2426



Next Meeting
May 25, 2010 (1:30PM-2:30PM)
Conference call. Call in number is 252-902-2482

  • Community Prevention Education Meeting Minutes, 4/14/10
  • Community Prevention Education Meeting Minutes, 2/23/10
  • Community Prevention Education Meeting Minutes, 1/13/10
  • Community Prevention Education Meeting Minutes, 11/24/09
  • Community Prevention Education Meeting Minutes, 10/14/09
  • Community Prevention Education Meeting Minutes, 8/25/09
  • Community Prevention Education Meeting Minutes, 7/28/09
  • Community Prevention Education Meeting Minutes, 5/26/09
  • Community Prevention Education Meeting Minutes, 4/28/09
  • Edgecombe County Focus Group, Community Prevention Education Meeting Minutes, 4/15/09.
  • Community Prevention Education Meeting Minutes, 2/24/09.
  • Community Prevention Education Meeting Minutes, 1/27/09.


  • Stroke Prevention Education Community Resources


    Template Proclamation for American Heart Month February 2010

      Use February 2010 American Heart Month as a way to promote cardiovascular disease prevention--and to kickstart activities in preparation for May 2010 Stroke Prevention Month! Download the Template Proclamation for American Heart Month file below to encourage your county's local Board of Commissioners to declare February as American Heart Month for your county. Along with promoting policy change, this action might also provide an opportunity to promote your local heart disease/stroke prevention activities in the county! This template was used successfully in Dare County, NC in February 2009.


    Patient Education Resources from Merck Source (many unbranded)

      The website for Merck Source has many free resources for patient education. Click on the Merck Source link to find condition guides on stroke, cholesterol/lipid disorders, high blood pressure, heart attack, heart failure, and many other medical conditions. Also, see links below for direct links to unbranded patient education resources on heart and vascular disorders, provided by Merck through Krames Patient Education:


      National Institute of Neurological Disorders and Stroke (NINDS) Resources

      Stroke Awareness Initiatives: Health care professionals can tap into a wealth of materials on stroke prevention and education available from the National Institute of Neurological Disorders and Stroke (NINDS). Look for:


      September Cholesterol Awareness Month Resources

      For the General Public:

        National Stroke Association Cholesterol Information
        NC Stroke Association Cholesterol Brochures (pdf files)
        NC Heart Disease and Stroke Prevention Cholesterol Brochure
          “Silent but Deadly Cholesterol” brochure can be ordered free online by going to http://www.encsn.org/cpe.htm, and filling out the HDSP media item request form (see below on this webpage).

        Albemarle Stroke Risk Identification Program Cholesterol Education Materials
        Cholesterol Radio PSA Text
          Use this text for a radio PSA on cholesterol. This script was developed for a PSA on radio station 990 AM.


            September is Cholesterol Education Month

            Your blood cholesterol level has a lot to do with your chances of getting heart disease or having a stroke.

            When there is too much cholesterol in your blood, it builds up in the walls of your arteries. Over time, this buildup can slow or block the flow of blood to the heart, resulting in a heart attack or block blood to the brain resulting in a stroke.

            High blood cholesterol itself does not have symptoms so many people don’t know that their cholesterol level is too high. For most people, total cholesterol of 200 or less is desirable.

            Everyone age 20 and older should have their cholesterol measured at least once every 5 years.

            Visit your doctor and know your numbers. If they are high, work with your doctor to lower your numbers and reduce your risk for heart disease and stroke.

            Brought to you by the Northeastern NC Partnership for Public Health and the Eastern NC Stroke Network.

          'Us Against Athero' (atherosclerosis) Campaign
            The website has a lot of great resources, including a very effective video, and downloadable pamphlets on atherosclerosis, a leading cause of carotid artery disease and strokes.

          FamilyDoctor.org Cholesterol Education Materials
            Simply written guide on FamilyDoctor.org about cholesterol. Materials could be printed directly off the web, and are especially good for a low-literacy audience. The website also contains videos about cholesterol. The website has information on many other disease states as well. Highly recommended by the NC HDSP State Media Specialist, Nandini Sen.

        For Health Providers:

        • SPARCL study, Stroke Prevention by Aggressive Reduction in Cholesterol Levels, Medscape Today.

        • 'Carotid Artery Disease' article in Circulation: Journal of the American Heart Association (Circulation. 2006;114:e244-e247).

        • Two carotid artery disease pamphlets from U.S. hospitals:
          Carotid Artery Disease Patient Guide, Edward Heart Hospital, Illinois
          Carotid Artery Disease Pamphlet, Park Nicollet Institute, Minnesota

        • ATPIII guideline cards are available for free if a service provider inservice training is requested. If interested, send an email to India Foy, ifoy@arhs-nc.org (ATP4 update in Summer 2010).

        • It is a JCAHO stroke core measure that if LDL is above 100 it is recommended that the person be on a cholesterol lowering medication during hospitalization and discharged on one.

            STK-6: Discharged on Statin Medication
            Numerator: Ischemic stroke patients prescribed statin medication at hospital discharge.
            Denominator: Ischemic stroke patients with an LDL > 100 mg/dL, OR LDL not measured, OR who were on a lipid-lowering medication prior to hospital arrival.


        Hypertension Radio Script for Eastern NC

        This radio script was used for hypertension PSAs in the 30 Eastern NC counties targeted by ENCSN. The radio ads will run on various radio stations from May 18, 2009 until the end of September 2009.




        Lessons for Living Well--Nutrition Education for Adult ESL

        This free interactive media website helps adults practice English while also learning about healthy eating options, salt, high blood pressure, stroke, and heart attack.



        High Blood Pressure Educational Flyers

        This is a set of three flyers in English and Spanish that can be downloaded free of charge. They are meant to be used as a set to explain what is high blood pressure, to provide education about risk factors and effects, and to promote lifestyle change. These flyers were developed by the Start With Your Heart: NC Heart Disease and Stroke Prevention Program.




        ENCSN Stroke Billboards

        Shown in Kinston, Lenoir County (Hwy 11/55) and Morehead City, Carteret County (Hwy 70) from February 2010 through January 2011. Developed by the Eastern and Northeastern NC Heart Disease and Stroke Prevention Programs. Billboard messages are estimated to reach approximately 47,000 passing vehicles in a year (NC DOT).


        Shown in Camden County (Hwy 158), Pasquotank County (Hwy 17), and Edgecombe County (Hwy 64 Alt and Hwy 258). Developed by the Northeastern NC Heart Disease and Stroke Prevention Program, in collaboration with the Edgecombe County Health Department. Design developed by Lewis Advertising, Rocky Mount, NC.


        NC Heart Disease & Stroke Prevention (HDSP) Public Awareness Ads

        Public Awareness Advertisements that were shown in North Carolina (targeting Eastern NC) in May 2008 and 2009: Stroke "Family Feud Game Show". In addition, you can see the embedded video for the HDSP High Blood Pressure "Lost in Translation" ad. These ads can be requested in DVD format as well. See Available Media Items and the HDSP Media Request Form below.






        Materials for May Stroke Awareness Month & EMS Week (May 17-23, 2009)

        'Explaining Stroke' National Stroke Association Brochure
        Example Stroke Newspaper Articles from Eastern NC
        • Newspaper articles submitted to the Enterprise Newspaper, May 2009 (unpublished): download here (MS Word). Submitted by John Fulk, Martin-Tyrell-Washington Health Department.
        • Newspaper article submitted to the Kinston Free Press (published 5/19/09): Page 1, Page 2. Submitted by Rhonda Ward, Lenoir County Health Department.

        Radio Script or Presentation Script for Community Members
          This radio or presentation script presents talking points on stroke for a 15-20 minute talk or presentation. This script was used in Pitt County for a radio segment on radio station WECU 1570 AM on 5/18/2009.

        Powerpoint Presentations for Community Members
        (with thanks to Marie Welch, John Fulk, and Bob Thomas for sharing their presentations)
        Pre-Printed Stroke Newspaper Insert
          These pre-printed newspaper inserts will be shown in the Daily Reflector Newspaper (Greenville, NC and Eastern NC) on 4/3/09 and 4/6/09. Use this pdf file to distribute in your own newspaper (please email Elynor Wilson, elwilson@pittcountync.gov, if used in your county/organization).

        EMS Stroke Brochure
          Customize this brochure for your county EMS. Delete the yellow boxes and insert relevant logos, mottos, and contact information. Partner with EMS in May for stroke screenings, EMS week events, and throughout the year in order to educate community members on the need to call 9-11 for a stroke!

        Community Prevention Education Survey, 3/30/09
          Excel spreadsheet of survey results from select ENCSN CPE members. Members responded by listing stroke awareness activities and stroke prevention partners in their organization/county. May help others to get ideas on stroke prevention partners and activities in their own communities.

        Free Stroke Risk Identification Screenings
          Scroll down on webpage for details. Contact Terry Congleton for Eastern NC screenings (252-847-0162) or Tanya Miller for Northeastern NC screenings (252-384-4414).

        ASA Power to End Stroke Materials
          Scroll down on webpage to see available materials and downloads. Contact Regina E. Fleenor, North Carolina Director of Cultural Health Initiatives, for more information (contact information below).

        NC Stroke Association Symptom Flyer
        Stroke Bulletin Board Display
          These powerpoint slides can be printed and used for a bulletin board display. For example, the slides shown here will be used for a display in the Pitt County Public Health Center waiting room during the month of May. Spanish and English information included.

        Available Free Stroke Education Media Items
        • Items from the NC Heart Disease and Stroke Prevention Program (HDSP)
        • Items from Genentech (Activase)
            Activase items may include table tent cards and pocket cards withe the "FAST" stroke symptoms (Face, Arms, Speech, Time). Table tent cards are useful for display in large worksite cafeterias (hospitals, factories, business companies, colleges, etc). Contact Pat McCormick, Clinical Specialist, for availabilty at 919-802-5214 or mccormick.patricia@gene.com.


        Free Community Stroke Screenings: The Stroke Risk Identification Program




        ASA Power to End Stroke Education Campaign

          Power To End Stroke was created in 2006 by the American Heart Association/American Stroke Association to help reach the ASA mission to reduce stroke and risk of stroke by 25% by 2010. It was also meant to raise critical awareness within the African American population. Heart disease and stroke are major health risks for all people, but African Americans are at particularly high risk.

          Go to http://powertoendstroke.org for more information on the initiative.

          Current ENCSN Power To End Stroke Partners with American Heart Association
          • Albemarle Hospital
          • Albemarle Regional Health Services
          • Beaufort Health Department
          • New Bern Health Department
          • Carolina East Rehabilitation Center
          • Carteret General Hospital
          • Onslow Memorial Hospital Stroke Program
          • Pitt Memorial Hospital Stroke Center
          • Wilson Medical Center
          • 3 Rivers Healthy Carolinians


          ENCSN Power To End Stroke Pledge Registrations Received To Date (as of January 31, 2010)
          • Beaufort County Health Department (Sarah Wright): 40 PTES Pledges
          • Pitt Memorial Hospital Stroke Center (Marie Welch): 58 PTES Pledges
          • Wilson Medical Centert (Mary Pelton): 5 PTES Pledges

          To become an ENCSN Power To End Stroke Partner with AHA/ASA, please contact Regina Fleenor (contact information below).

          For those in ENCSN that would like to partner with American Stroke Association during May Stroke Awareness month and help secure completed stroke pledge registration cards, please contact Regina Fleenor (contact information below) to discuss. Regina can provide materials for stroke month events (Know Your Number Wallet Cards, Shape Your Family History Tree, Power To End Stroke Pledge Registration Cards, and also Stroke Risk Quiz cards when they are back in stock).

          Downloadable ASA Power to End Stroke Items

          NC Power to End Stroke Contact
          Regina E. Fleenor, RN/BSN
          North Carolina Director, Cultural Health Initiatives
          American Heart Association
          Mid-Atlantic Affiliate
          222 South Church St., Suite 303
          Charlotte, NC 28202
          (704) 208-5518 direct office line
          (704) 374-0632 main office
          (828) 506-8378 cell phone
          (704) 374-0634 fax
          regina.fleenor@heart.org



      Free Publications from the FDA Office of Women's Health


      Church Bulletin Inserts from the NC Heart Disease and Stroke Prevention Program




      Available Media Items (updated 6/15/09)

        These media items are available for distribution to ENCSN member agencies. All of these items are provided through funds from the "Start With Your Heart" NC Heart Disease and Stroke Prevention Program (HDSP).

        To request HDSP media items, download the order request form below, complete the form, and email it to the applicable coordinator (India Foy or Elynor Wilson, as noted in the form).



    Contact Elynor Wilson, ENCSN Staff Member/Heart Disease & Stroke Prevention Regional Coordinator, at 252-902-2451 for more details.
          . .
          Available Hypertension Posters
          Donated by Merck.
          Available Blood Pressure Tracking Cards
          Donated by Merck.
          Available High Blood Pressure and Prevention of Stroke Illustrated Booklets
          Donated by Merck.
          Available High Blood Pressure One-on-One Packets Donated by Merck.
          Available Stroke Prevention Pocket Counseling Card Donated by Merck.
          Available Brain Stroke First Aid Kits Signs of a stroke and "call 9-11" are listed on the outside. Contain bandaids and ointment. Size: 2 inches by 3 inches.
          Available Stroke Signs/Heart Attack Signs Sticky Card
          Know The Signs Of Heart Attack And Stroke; A Tips That Stick Info-Card. During a heart attack or stroke, every minute counts. This self-adhesive info-card describes the symptoms of both conditions in easy-to-understand bulleted text, and provides clear directions for how to get help. Info-card can be easily affixed -- and reapplied -- to a bedroom wall, a refrigerator, or any other home surface, making information easy to find, easy to read, and easy to act on. Made of durable card stock, with pre-slit folds and a tab for flat display when open or closed. 8" x 13" (unfolded), 8" x 5 1/2" (folded). **Available in Spanish and English
          Available Blood Pressure/Stroke Storybook Comic
          A timely resource for increasing awareness within the Hispanic/Latino community about the seriousness of hypertension and the importance of getting regular blood-pressure checkups. These messages are delivered via a story about a mother and son -- one with high blood pressure and the other with prehypertension -- who make healthy choices after learning that a family member has had a stroke. Audience-targeted language, design, and photographs help make the message more relevant for Hispanic/Latino readers. 8 pages, 5 1/2" x 8". **Available in Spanish and English
          Available ENCSN Stroke Pens
          ENCSN Stroke Pens in blue and white which show the ENCSN website link (www.encsn.org) along with the stroke signs and symptoms in two display windows on the sides of the pen. Different symptoms display each time you click the pen back. Pen distribution preference will be given to ENCSN-sponsored training events.
          Available ID Badge Clips
          Blue ENCSN ID badge clips which are perfect for health providers working in stroke prevention. Plastic snap loop attaches to badge, and metal clip on back slides over pockets or belt loops.
          Available Better Health Prescription Pads Using the medical Rx model, this prescription pad urges patients to maintain healthy behavior: to walk, eat healthier, or a fill-in-the-blank space for other healthy activity (ie. quit smoking). Service providers can check diabetes, high blood pressure, weight issues, high cholesterol, or previous heart problems as the health conditions this healthy behavior "prescription" can improve. Size: 5 inches by 4.5 inches.
          Available "Start With Your Heart" Blood Pressure Brochures "Start With Your Heart" Blood Pressure Brochures. Cover reads, "Need help translating & understanding your blood pressure numbers? Here's what you need to know to fight heart disease and stroke." Size: 3.5 inches by 8.5 inches, folded.
          Available "Give Me 5" Stroke Posters "Give Me 5" for Stroke posters list 5 signs of a stroke (walk, talk, reach, see, feel) and tell people to "call 911" if they have one of these symptoms. Posters and bookmarks were created by the American Academy of Neurology, American College of Emergency Physicians, and American Heart Association/American Stroke Association. Size (posters): 11 inches by 16 inches.
          Available "Faces of Stroke" DVDs "Faces fo Stroke" is a video that runs for 14 minutes and 30 seconds. It features the stroke care team at Carolinas Medical Center NorthEast in Charlotte, NC. This DVD shows the stroke continuum of care, and could be used as a model for other regional hospitals in developing media for their own stroke care programs. This DVD could also be used in community prevention education, since it shows stroke warning signs and features the story of a stroke survivor. This DVD was produced by the Cabarrus County Stroke Collaborative.

          Available "Start With Your Heart" Media Advertisement DVDs These "Start With Your Heart" DVDs show four (1-minute) advertisements which focus on stroke and heart attack prevention: "Game Show" Stroke Signs (2 clips); "Lost in Translation" Medical Jargon OR "Paramedic Mindreader" Heart Attack Signs; and "Barflies" Heart Attacks & Secondhand Smoke. Copies of these DVDs can be provided to Network members who will show the health media advertisements in their work setting or community: hospital waiting rooms, county public access channels, community health fairs, etc. IMPORTANT: Please notify Elynor Wilson (elwilson@pittcountync.gov) or India Foy (India.Foy@ncmail.net) once these ads have been shown in your community or workplace, in order to track ad exposure in Eastern NC. This tracking ensures continued funding for this mass media project.

          Available JNC7 Blood Pressure Guideline Reference Cards JNC7 Blood Pressure Guideline Reference Cards are available to Worksite Nurses or other health care providers, in conjunction with presentations by Elynor Wilson & India Foy. If your worksite or organization would like a presentation on updated blood pressure and cholesterol guidelines (funds available for limited refreshments), please contact Elynor Wilson (elwilson@pittcountync.gov) or India Foy (India.Foy@ncmail.net) to make arrangements.
          Available ATP3 Cholesterol Guideline Reference Cards ATP3 Cholesterol Guideline Reference Cards are available to Worksite Nurses or other health care providers, in conjunction with presentations by Elynor Wilson & India Foy. If your worksite or organization would like a presentation on updated blood pressure and cholesterol guidelines (funds available for limited refreshments), please contact Elynor Wilson (elwilson@pittcountync.gov) or India Foy (India.Foy@ncmail.net) to make arrangements.