1. Date Name Location Smoking Cessation and Stress* COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES OSU Cares Grant provided funding for this program. OHIO STATE UNIVERSITY EXTENSION

2. “ABCSs*” of Million Hearts ® A = Aspirin Therapy for high-risk individuals B = Blood Pressure Control C = Cholesterol Management S = Smoking Cessation s* = Stress Reduction OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

3. What produces your stress How you cope with stress Ways to reduce your reaction to stress Visual imagery techniques to reduce stress Role of physical activity in stress reduction Smoking Cessation Resources Why does high blood pressure matter? Today You Will Learn: OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

4. Smoking and Heart Disease OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

5. Why does high blood pressure matter? Health Problems with Smoking OHIO STATE UNIVERSITY EXTENSION Visual from Center for Disease Control and Prevention COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

6. Why does high blood pressure matter? Why is Smoking Harmful? OHIO STATE UNIVERSITY EXTENSION S h a r e C o m p a r t i r A d d t h i s t o... A ñ a d i r e n... F a v o r i t e sF a v o r i t e s D e l i c i o u sD e l i c i o u s D i g gD i g G o o g l e B o o k m a r k sG o g l e B o k m a r k s L i n k e d I nL i n k e d I n P i n t e r e s t n t e r e s t Visual from Center of Disease Control and Prevention COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

7. Why does high blood pressure matter? Smoking Increases Risk of Atherosclerosis OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

8. Why does high blood pressure matter? Smoking Increases Your Risk Heart Disease Heart Disease Smoking Your Risk OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

9. Smoking Cessation OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

10. Why does high blood pressure matter? Stopping Smoking Op Quit Smoking Heart Disease Your Risk OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

11. Why does high blood pressure matter? Smoking Cessation Resources American Cancer Society Quit Line 1-800-227-2345 www.cancer.org American Heart Association 614- 848-6676 http://www.heart.org OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

12. Why does high blood pressure matter? Smoking Cessation Resources American Lung Association Hotline 1-866-7848937 www.lung.org Ohio Tobacco Quit Line 1-800-784-8669 Local Health Department OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

13. Why does high blood pressure matter? Eliminate all Tobacco Products Tobacco OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

14. “ABCSs*” of Million Hearts ® s* = Stress Reduction OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

15. Why does high blood pressure matter? Stress can be Positive OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

16. Why does high blood pressure matter? What Causes You Stress? OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

17. Why does high blood pressure matter? Negative Stress OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

18. Why does high blood pressure matter? Examples of Stress OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

19. Why does high blood pressure matter? Reactions to Stress OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

20. Why does high blood pressure matter? How do you feel physically when you are stressed? OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

21. Why does high blood pressure matter? How do you feel emotionally when you are stressed? OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

22. Healthy Ways to Cope With Stress OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

23. COPE C reating O pportunities for P ersonal E mpowerment OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

24. Why does high blood pressure matter? Thinking, Feeling and Behaving: Connections OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

25. Thinking Feeling Behaving OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

26. Program your Brain with Positive Thoughts OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

27. Why does high blood pressure matter? Positive Thoughts Positive Thoughts IN OUT OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

28. Why does high blood pressure matter? Practice Positive Self Talk OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

29. Why does high blood pressure matter? Practice Positive Self Talk I am a good friend. I did that well. I’m not going to give up. I’m going to stay calm. This won’t last forever. OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

30. Why does high blood pressure matter? Staying “In the Moment” OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

31. Why does high blood pressure matter? Positive Ways to Deal with Stress Take Care of Yourself OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

32. Why does high blood pressure matter? Positive Ways to Deal with Stress Talk to Others OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

33. Why does high blood pressure matter? Positive Ways to Deal with Stress Avoid Drugs and Alcohol OHIO STATE UNIVERSITY EXTENSION X COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

34. Why does high blood pressure matter? Get Help When Needed OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

35. Why does high blood pressure matter? Positive Ways to Deal with Stress OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

36. Stress Reduction Techniques OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

37. Why does high blood pressure matter? OSU Health Plan Guided Imagery osuhealthplan.com/members/ohio-state- employee-assistance-program-eap/osu- eap-tools OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

38. Why does high blood pressure matter? Guided Imagery Relax OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

39. Why does high blood pressure matter? Mental Imagery OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

40. Why does high blood pressure matter? Practice Mental Imagery OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

41. Why does high blood pressure matter? Regulate Your Emotions OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

42. Why does high blood pressure matter? Self Control Strategies OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

43. Why does high blood pressure matter? Other Healthy Coping Strategies OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

44. Physical Activity OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

45. Why does high blood pressure matter? Move to Reduce Risk Exercise helps with management of almost all stroke and heart attack risk factors. OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

46. Why does high blood pressure matter? Move to Reduce Risk Exercise treatments can be as effective as drug treatments for reducing mortality from cardiovascular disease and stroke. OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

47. Why does high blood pressure matter? Benefits of Exercise Physical Feeling Good! Emotional Mental OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

48. Why does high blood pressure matter? Types of Exercise Cardiovascular Exercise Strength Training Flexibility Exercises OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

49. Why does high blood pressure matter? Schedule time to exercise. OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

50. Why does high blood pressure matter? At Least 30 Minutes Most Days OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

51. Why does high blood pressure matter? Choose an activity that you enjoy. OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

52. Why does high blood pressure matter? Physical Activity for You Consult with your healthcare provider before beginning an exercise program. OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

53. Make A Difference By… OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

54. “ABCSs” of Million Hearts ® A = Aspirin Therapy for high-risk individuals B = Blood Pressure Control C = Cholesterol Management S = Smoking Cessation s* = Stress Reduction OHIO STATE UNIVERSITY EXTENSION go.osu.edu/KaiserPermanente COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

55. What Changes are You Going to Make? OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

56. Why does high blood pressure matter? Million Hearts ® Resources to Help Website: millionhearts.hhs.govmillionhearts.hhs.gov Take the pledge to help reduce heart disease and stroke in your family. Resources are available to inform and assist you in reducing your risk of heart disease. OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

57. Why does high blood pressure matter? American Heart Association Resources to Help Website: heart.org and Go Red for Women – goredforwomen.org/heart.org goredforwomen.org/ “The Simple 7” is part of their website where you can track your progress on 7 Heart Health Factors: Get Active Control Cholesterol Eat Better Manage Blood Pressure Lose Weight Reduce Blood Sugar Stop Smoking OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

58. Why does high blood pressure matter? Social Networks - Facebook Million Hearts Facebook facebook.com/millionheartsfacebook.com/millionhearts American Heart Association Facebook facebook.com/AmericanHeart facebook.com/AmericanHeart Go Red for Women Facebook facebook.com/GoRedforWomen OSU Live Healthy, Live Well Facebook facebook.com/pages/Live-Healthy-Live-Well facebook.com/pages/Live-Healthy-Live-Well OSU Live Smart Ohio Facebook facebook.com/livesmartohiofood OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

59. Why does high blood pressure matter? Social Networks - Twitter Million Hearts® Twitter Million Hearts®@Million HeartsUS American Heart Association Twitter American Heart Assoc @American_Heart AHA My Heart.MyLife @AHAlivehealthy The Heart Truth @TheHeartTruth American Heart News @HeartNews Go Red for Women @GoRedForWomen OSU Live Healthy, Live Well @osulivehealthy OSU Live Smart Ohio @LiveSmartOhio OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

60. References all downloaded in September 2013 References American Heart Association, (2014). The Simple 7, Available at mylifecheck.heart.org/Multitab.aspx?NavID=3&CultureCode=en -US and other resources from American Heart Association available at heart.org Centers for Disease Control and Prevention, (2014). Coping with Stress, Available at cdc.gov/violenceprevention/pub/coping_with_stress_tips.html Center for Disease Control and Prevention, (2014). Million Hearts, Available at millionhearts.hhs.gov/about_hd.html Melnyk, B. M. (2003). COPE: Creating Opportunities for Personal Empowerment. mylifecheck.heart.org/Multitab.aspx?NavID=3&CultureCode=en -USheart.org cdc.gov/violenceprevention/pub/coping_with_stress_tips.htmlmillionhearts.hhs.gov/about_hd.html COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES

61. References: Million Hearts, (2014). Materials and Information, Available at millionhearts.hhs.gov Ohio State University Wexner Medical Center. Patient education materials. (2014). Available at patienteducation.osumc.edu/ Ohio State University Health Plan, Guided Imagery Stress Management Tools. (2014). Available at osuhealthplan.com/members/ohio-state-employee- assistance-program-eap/osu-eap-tools / See handout for additional resources. millionhearts.hhs.gov patienteducation.osumc.edu/ osuhealthplan.com/members/ohio-state-employee- assistance-program-eap/osu-eap-tools / All references were checked in January 2015.. COLLEGE OF EDUCATION AND HUMAN ECOLOGY COLLEGE OF NURSING COLLEGE OF FOOD AGRICULTURAL, AND ENVIRONMENTAL SCIENCES