Table 1

Population Characteristics of Standard and Enhanced Regions

CharacteristicGreeley, ColoradoaDenver, ColoradobHobbs, New MexicoSouth Valley, Albuquerque, New Mexicoc
Community descriptionLargely rural agricultural communities
Population ~75,000
Approximately 30% Hispanic
Lower average income and higher rates of poverty than rest of state
Population >3 million
Among fastest growing urban centers in the United States
80% White with approximately 30% of its residents identifying as Latino
Among eastern-most counties in New Mexico.
Population ~35,000
Highest percentage of African American population in the state
Describe themselves as a part of West Texas, because geographically they are closer to Texas than most other places in New Mexico
Oil and gas are the main sources of income in the region
Urban/rural mix; high-density areas are intermingled with agricultural land
Population ~40,000
Predominantly Hispanic, with many recent immigrants from Latin America
Themes and messagesEarly intervention is key, emphasized knowing personal heart health numbers, including blood pressure, cholesterol, 10-yr ASCVD risk
Track health data over time
Provide context around CVD risk (What does 7% risk mean for me?)
Wanted a conversation starter for patient to discuss CVD risk with health professionals
You only have 1 heart—your life depends on it
Know your risk, even if you feel fine
Act now to lower your risk
Wanted to design products for any age-group
Use brochure to grab attention and dig deeper into actions with the Risk Factor Check List
A clean spiritual life requires a healthy physical life—complete spiritual, physical, and mental health are needed to be whole
Focus on what we can control, not what we can’t (eg, family history)
Heart disease does not discriminate; no matter one’s heritage, ethnicity, religion, etc, we are all at risk
Many members from faith-based community; our bodies are worthy of care
Taking care of health is actually cheaper (“sale”) than consequences of CVD event
Encouraged implementation in community, but also in practice setting
Messages aim to elicit a feeling—think about family, love, prevention in a multi-generational sense
Educate ALL ages and get the entire family involved—youth can help the family change and adults and seniors want to be around for their family
Focus on Latino communities
Prevent second chances. Don’t wait for something to happen to take action
“Know your numbers before your ‘check heart’ light comes on”
Implement in community, but also in practice setting
Attention to the need for materials to be in both Spanish and English
Product descriptionHeart Chart, a personal tracking tool for blood pressure, cholesterol, BMI and 10-y ASCVD risk, which provides comparison to normal age-related risk over time
Recipe cards with information about CVD prevention
An informational brochure about cardiovascular disease prevention labeled “You only have one heart”
A similarly themed poster
A checklist of CVD risk factors
Big sign saying “Big Sale!” with information about CVD risk reduction
Hand-held, heart-shaped fan with “We are all different but we all have heart–heart disease does not discriminate.”
Magnet that reads “Our bodies are miracles… but we have to treat them that way!”
Trifold brochure informational brochure titled “Prevent second chances”
One-page handout with key heart health numbers in the form on the image of a car dashboard
Informational poster with a picture of a family
Grocery bag that says “Cuídalo” and displays the ABCS
Example product Embedded Image Embedded Image Embedded Image Embedded Image
  • ABCS = aspirin use, blood pressure, cholesterol management, smoking cessation; ASCVD=atherosclerotic cardiovascular disease; BMI = body mass index; CVD = cardiovascular disease.

  • a Northeast Colorado.

  • b Denver and Golden, Colorado.

  • c Parts of Albuquerque and unincorporated San Bernalillo county.