Heart Health Resources

This section of the site provides quick access to case studies and helpful on-line social marketing resources for fostering heart heatlh. We welcome suggestions for additional case studies and resources

Latest News

March 14, 2023 Two New Case Studies, Four New Topic Resources Posted
We've posted two new case studies and four additional Topic Resources this past year. We've also updated two Topic Resources. You can access the case studies in the left hand column below, and the Topic Resources in the right hand column below. Let us know what you think.
Blood Pressure Guidelines Put Half of U.S. Adults in Unhealthy Range
Nearly half of U.S. adults now have high blood pressure, thanks to a new (Nov. 2017) definition of what constitutes high: 130/80 is the new 140/90. That means that 103 million people - about 14 percent more than under the old definition - need to make diet and exercise changes and, in some cases, take medication to lower their risk of heart attack or stroke. More Let us know what you think.
 

Most Recent Heart Case Studies

Landmark Case Study How Copenhagen Became a Cycling City  EnvironmentHealthSafety

What makes a great cycling city? How did the medium-sized City of Copenhagen get its citizens to cycle to work / school 49% of the time? While topography and climate are significant influencers, safety, supportive infrastructure, and promotion also played key roles. Copenhagen increased cycling by making it safer, easier, and more convenient. This case illustrates the power of piloting alternative enhancements on an ongoing basis to further reduce barriers and increase benefits, based on regular surveys, traffic data and safety data. It also features a transparent planning process - the Bicycle Account – a research, evaluation, promotion, and citizen engagement tool used every two years since 1996. Designated a Landmark case study by our Transportation peer selection panel in 2022.

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Landmark Case Study Paris Reduces Car Use, Boosts Walking and Cycling  EnvironmentHealthSafety

Paris is an inspiration for large cities around the world, having reduced car traffic in its core (Ile de France) from a mode share of 12.8% in 2010 to 6% in 2020. How did Paris get to be one of the cities in the world with the lowest mode share for single occupant vehicles? The city is comparatively dense and has one of the top subways in the world. But what is most striking about its transformation is the increase in cycling and walking during this period – they increased from 55.4% in 2010 to 68% in 2020. Numerous programs offered by three levels of government explicitly prioritized bicycles over cars and reduced on-street car parking to make room for bike lanes. They taxed and restricted more polluting vehicles, and gradually phased them out, while providing a conversion bonus for the purchase or lease of electric-assisted bicycles and cargo bikes. In addition, car ads had to include messages promoting greener methods of transportation, and incentives were provided for bike repairs and tune-ups. Designated a Landmark case study by our sustainable transportation peer review and selection panel in 2022.

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Landmark Case Study City of Austin’s Leave Time Travel Incentive  EnvironmentHealth

The City of Austin reduced employee commute travel by one million vehicle miles within six months of making its Leave Time Reward (LTR) a permanent incentive. During this period, the percentage of drive-alone trips fell from 53% to 41%. Attribution of these impacts to the City’s time off incentive policy is strengthened because that policy was introduced in the pilot study, then withdrawn after the pilot, then later reintroduced for the permanent program (Reversal Design.) Designated a Landmark case study in 2020.

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Landmark Case Study Bologna’s Bella Mossa  EnvironmentHealth

Bologna’s Bella Mossa program awarded participants points for walking, cycling or using public transport. Points could be redeemed for discounts or payment towards merchandise and services from 85 retailers, including supermarkets, sports retailers, bike stores, opticians, bookshops, cinemas, restaurants and bars. In 2018, 10,000 people reported taking 995,000 trips by alternative transportation methods, totalling 3.7 million kilometres and saving 711 tonnes of CO2. The program won CIVITAS’s “Bold Measure" award in 2017 and was designated a Landmark case study in 2019.

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Landmark Case Study Capitol Hill In Motion  EnvironmentHealth

Capitol Hill In Motion is a recent evolution of the individualized marketing approach used by King County, Washington State, USA. It illustrates how to further engage communities where most trips are already not drive-alone. With remarkably high signup rates, this campaign also delivered a solid 16% average reduction in drive-alone trips (surpassing the campaign goal and King County’s overall goal of a 10% reduction).  Designated in 2017. 

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Landmark Case Study Chicago’s Go Program  EnvironmentHealth

Chicago’s Go Program is an Individualized Marketing program that helps residents walk, bike, ride transit, and use bike share more frequently, while driving alone less often. Compared with past Individualized Marketing efforts in other cities, the Go Programs have pushed the envelope of inclusive, accessible programming that serves a very broad range of Chicago neighborhoods - and the very high participation rates and positive post-program stakeholder input show that this effort paid off. Because of these successes, the Go Program can serve as a model for other communities looking to integrate equity and diversity in Transportation Demand Management programs. On average, 65% of post-program survey respondents report increased walking, biking, or transit usage because of the program. The program’s behavior-changing results led the City of Chicago to designate funding for additional neighborhoods in the future. Designated in 2017. 

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Landmark Case Study Brisbane's Active Schools Travel Program  EnvironmentHealthSafety

By the end of 2017, Brisbane’s Active Schools Travel Program had engaged over 157 primary schools to reduce single car trips by up to 35% and increase walking trips correspondingly. Half of the students at participating schools travel to school by active means, twice the state average. This program illustrates good use of safety instruction and practice, stamped student passports, norm appeals, competitions, and three levels of recognition and incentives. Designated a Landmark Case Study in 2018. 

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Landmark Case Study Bicycle Friendly Communities Program  EnvironmentHealthSafety

The Bicycle Friendly Communities (BFC) program provides municipalities with advice and feedback, goal setting assistance, training programs and recognition awards to create more bike-friendly communities. It is a results-oriented program designed to encourage municipal decision makers to consider how their existing cycling programs complement one another and how they can be improved. Detailed feedback from transportation professionals and community stakeholders gives communities an accurate measure of where they are and a detailed roadmap to the future.

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Commuter Challenge: Environment Canada's Participation  EnvironmentHealth

This case study illustrates the successful engagement of a large organization (Environment Canada) in a broad-scale staff participation program. That program, the Commuter Challenge, is a Canada-wide NGO-led event that challenges commuters to reduce the use of single-occupant vehicles during a specific time frame. It is used as an awareness raising initiative and to promote trial of an activity, not as a scientific auditing or survey tool.

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Landmark Case Study BIXI Bicycle Sharing  EnvironmentHealth

BIXI Montreal is a great example of how to make  urban cycling a more practical and attractive transportation option. BIXI makes it convenient for commuters to cycle rather than drive, especially for frequent, short trips. The system was specifically developed to augment Montreal’s existing transit system and between 2009 and 2013 Montrealers made more than 13 million trips with BIXI. It is a turn-key service that is inexpensive and replicable across many countries and cultures. In addition, by making cycling more chic and attractive, BIXI has had a major impact on cycling in North America. Revised in September 2015.

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Landmark Case Study King County In Motion  EnvironmentHealth

In Motion participants pledge to shift two drive-alone trips per week to transit, ridesharing, biking or walking. The program uses motivational interviewing, commitments, rewards, engaging materials and norm appeals tailored to each target community. It has been called into action during or in anticipation of major construction, transit restructures or new transit service such as light rail or bus rapid transit. Since creating In Motion in 2004, King County Metro Transit has applied a growing toolkit of community-based social marketing techniques to persuade about 23,000 Seattle-area travelers to drive less. Designated a Landmark case study in 2015. Access the 4.5 minute You Tube video summary using the link near the bottom of the left hand taupe-colored column.

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Growing Healthy Kids  EnvironmentHealth

This well-documented obesity prevention program pilot for low-income families in Carrboro NC (USA) featured three main components. Weekly work sessions in a community garden provided gardening instruction and practice opportunities and a familiarity with the vegetables. A seven-week workshop series covered cooking and nutrition. Social activities and events built and maintained interest in the garden and fostered interaction between garden members. By the end of their participation in the program, 17% (n=6, p<0.004) of obese or overweight children had improved their BMI classification and 100% of the children with a BMI classification of normal had maintained that BMI classification.

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Citi Bike - NYC Bikeshare  EnvironmentHealth

New York City’s Citi Bike is the largest bike share program in North America, and a key element in the city’s transportation network, providing a last mile solution. A similar approach is replicable in the downtown cores of other major cities where taxies, buses and individual cars all intertwine together.

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CommuteSM  EnvironmentHealth

CommuteSM is Santa Monica’s Transportation Management Association, formed pro bono in 2012 by RideAmigos. In collaboration with the City of Santa Monica, CommuteSM launched Santa Monica’s first-ever Commuter Challenge in 2015 (April 1 to September 1). This challenge encouraged residents and employees in Santa Monica to bike, carpool/vanpool, ride transit, or walk to work, instead of driving alone.

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Landmark Case Study Love to Ride  EnvironmentHealth

Love to Ride provides tailored resources and support for increasing commuter cycling, staff fitness, and reducing traffic congestion at work. It uses 'stage of change' to segment participants and cost-effectively tailor communications to them, helping them move along a personal journey of change. A web-based platform and GPS app reach people through their computers, cell phones and tablets, with tailored and timely information. Originally developed in New Zealand, Love to Ride has now been replicated in continental Europe, the UK, US and Australia. It was designated a Landmark case study in 2014.

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Most Recent Heart Resources

Effectiveness of Chatbots on Lifestyle Behaviours  Health

Findings from this systematic review and meta-analysis indicate that chatbot interventions are efficacious for increasing physical activity, fruit and vegetable consumption, sleep duration and sleep quality.

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Impact of Wearable Device-Based Interventions with Feedback for Increasing Daily Walking Activity and Physical Capacities in Cardiovascular Patients  Health

This systematic review and meta-analysis of randomised controlled trials found that the use of wearable physical activity monitoring devices appears to help patients with cardiovascular disease to increase their daily walking activity and thus their physical activity, particularly in the short term.

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Effectiveness of Multicomponent Interventions in Office-Based Workers to Mitigate Occupational Sedentary Behavior: Systematic Review and Meta-analysis  HealthSafety

Multicomponent interventions, particularly those incorporating sit-stand workstations for all participants, are effective at reducing workplace sedentary time.

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Digital Behavior Change Interventions to Reduce Sedentary Behavior and Promote Physical Activity in Adults with Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials  Health

Digital behavior change interventions can increase physical activity and reduce sedentary behavior in adults with type two diabetes.

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Cool Walkability Planning  EnvironmentHealth

As global warming continues, ambient temperatures will pose an increasingly critical barrier in more and more areas to choosing walking, cycling and other active transportation modes. Accordingly, it will be important to develop and promote routes and portions of routes that will be comfortable for walking and/or cycling in hot weather.

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The Built Environment a Strong Predictor of Adolescents' Obesity, Eating Behaviors  Health

This open-access study found that the built environment, but not social and economic environments, was a strong predictor of adolescents' BMI, overweight or obesity status, and eating behaviors.

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CDC Heart Disease Communications Kit  Health

This online kit includes social media messages, shareable graphics and videos.

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Effective Behavior Change Techniques to Promote Physical Activity in Adults with Overweight or Obesity: A Systematic Review and Meta-Analysis  Health

Multicomponent behavior change interventions are typically used in weight management, but results are largely heterogeneous and modest. This study aimed to identify the most effective behavior change techniques for increasing physical activity (PA) in digital and face-to-face behavior change interventions in adults with overweight/obesity.

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Social and Behavioural Change Communications for Prevention of Childhood Overweight and Obesity  Health

This toolkit provides a practical, step-by-step methodology for designing, implementing, monitoring, and evaluating Social and Behavioural Change Communications (SBCC) initiatives to prevent overweight in children. Its review of covers found that interpersonal and multi-component communications had the greatest impact and strength of evidence for maternal nutrition, breastfeeding, and complementary feeding. Only multi-component communications had the greatest impact and strength of evidence on child / adolescent diet and physical activity.

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Cardiovascular Disease Prevention and Risk Factor Management Among Midlife and Older Adults  Health

This scientific statement from the American Heart Association presents evidence of effective behavioral intervention programs that are feasible for adoption in primary care settings for cardiovascular disease prevention and risk management in middle-aged and older adults. It also highlights resources, practical approaches to appropriately engage and refer patients to these programs, and opportunities to enhance them.

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Behaviour Change Techniques in Cardiovascular Disease Smartphone Apps to Improve Physical Activity and Sedentary Behaviour: Systematic Review and Meta-Regression  Health

This systematic review compares the efficacy of various behaviour change techniques used in smartphone app interventions for improving physical activity and sedentary behaviour in people with cardiovascular disease. 

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Combination of Walkability and Greenery Boosts Activity Levels  EnvironmentHealth

People are most physically active when their environments are both highly walkable and very green, according to a study by Marquet et al (2022), published in Environment International. 

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Online Menu Placement Affects Healthy Choices  Health

When healthier menu options were placed first on an online menu, they were chosen more often. However, the order of pacement had no effect with physical (rather than online) menus.

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STEP IT UP! The (U.S.) Surgeon General's call to action to promote walking and walkable communities  EnvironmentHealthSafety

Being physically active is one of the most important steps that Americans of all ages can take to improve their health. But only half of adults and about a quarter of high school students get the amount of physical activity recommended in national guidelines. Step It Up! The Surgeon General's Call to Action to Promote Walking and Walkable Communities (2015) aims to get Americans walking and wheelchair rolling for the physical activity needed to help prevent and reduce their risk of chronic diseases and premature death. And it supports positive mental health and healthy aging as well.

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Effectiveness of Social Marketing Strategies to Reduce Youth Obesity in European School-Based Interventions: A systematic review and meta-analysis  Health

This 2016 review found that the inclusion of at least 5 SMBC domains (from the National Social Marketing Centre's social marketing benchmark criteria) in school-based interventions could benefit efforts to prevent obesity in young people.

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