HOPE – For Better Nutrition, Fitness and Health among Floridians

Orlando, FL

June 19 2007

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Agenda & Objectives

I’ve got my mini-grant – Now What!?

HOPE Diet/Fitness/Health Evaluations

MiDieta (MyDiet) – Culturally-appropriate Healthy Eating & Fitness Program

How it all fits together & grows!

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DrTango - Mission

Help healthcare organizations:

Improve Health Outcomes,

Communicate More Effectively, and

Control costs

While serving culturally-diverse markets

Social Mission

Help narrow the health disparities gap

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Health Conditions among Hispanics

Rise in obesity prevalenceRise in obesity prevalence in US accounted for in US accounted for 27% 27% of the growth in health spendingof the growth in health spending over the past 20 over the past 20 years.years. Dr. Kenneth Thorpe, Woodruff Chair HPM Emory UniversityDr. Kenneth Thorpe, Woodruff Chair HPM Emory University

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Building an Application that Could AchieveMultiple Objectives

Heart Disease

Depression

Hypertension

Diabetes

Overweight& Obesity

Hispanic Culture Diet & Fitness

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Selected Clients

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HOPE – Diet, Fitness & Health Evaluations

Optimized for Florida

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Evaluations – Purpose & Aims

Baseline – Where are we starting from – as an organization & State

Needs – What are the specific needs & opportunities for Intervention

Common Measures – Compare impact across organizations

Impact – Were we successful?

Sustainability – Evidence based success more resources & expansion

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HOPE Florida - Website

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HOPE Diet & Fitness Evaluation

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Paper-based Evaluation

Paper version of Evaluation

Completed forms are scanned into our system & analyzed

Personal “profile” created online

Paper Report produced for Individual

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Immediate Next Steps

Communications (e.g. flyers, emails) templates customized for your organization for you to distribute

Promo code – unique to your organization

Push people to the website to fill in

Paper-based versions (limited) available

MAXIMUM NUMBER – Completed by July 30th 2007!

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MiDieta / MyDiet –Culturally-personalized

health improvement program

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MiDieta/MyDiet™

Bilingual diet, fitness, weight management and health improvement weight-management that is: (a) Culturally and linguistically appropriate, and (b) Personalized

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MiDieta - Development

PanHispanicFoods– Translated: USDA database into Spanish– Merged in: Food Databases from Mexico, Central America,

South America, Spain– Added: Processed and commercial foods from Mexico

Experts– CDC– Society for Latin American Nutrition– Hispanic Nutritionists

Launched – in January 2002

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Healthy lifestyle website with popular & relevant content for Hispanics

Personalized programs (offline & online): menu plans, fitness programs, shopping lists, tracking tools

Bilingual nutritionists, fitness trainers & diabetes counselors (forthcoming)

User-generated content & social networking

Main Features of MiDieta Program

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Bilingual personalized menu & fitness plan based on: Gender BMI Goals Condition Food preferences

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Weekly Reminders & Education

Bilingual

Multicultural

Interactive

DrTango Solutions30

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User Feedback

...Para mí es un placer estar recibiendo su servicio, ya que ahí he encontrado muchas opciones para cada tiempo de comida y, lo mejor de todo, es comida latina, ¡¡la que nosotros estamos acostumbrados a comer!! ¡Felicidades de mi parte y sigan adelante! – Melisa ...For me, it is a real pleasure to receive your service, because in it I’ve found many options for every meal, and the best thing of all, it’s Latin food, the food that we’re used to!! Congratulations, and keep up the good work! – Melisa

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MyDiet™ / MiDieta™ Suite – Populations & Conditions

Current: General adult (age 15+) Overweight & Obese Pregnant Post-partum Post-partum (lactating) Offline Version

Forthcoming – 2007/08: Diabetes Type II Child Obesity

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MiDieta – Awards

Top 20 “most innovative health promotion and disease prevention applications from around the Nation” (HHS, Mar 2004)

2-year Robert Wood Johnson Foundation Grant on potential of eHealth for Hispanics (Oct 2004)

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Educational Level of Hispanics Seeking Health Information Online (n=18,245)

4%

21%

39%

29%

3%

0%

10%

20%

30%

40%

50%

< 6 6 to 11 HighSchool

College Grad.

CDC project: How Hispanics Use the Internet For Health. Schroeder et al. 2003

Percent64% - Max. High School or less

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“Who do you trust for Nutrition Information?”

0 20 40 60 80 100

Percent with "very high" trust

Doctors

Dietitians

Books

Internet

Mother

Magazines

Friends

Television

Radio

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Main Findings From RWJF Research Study

ANOVA: P=0.03

Culturally-Appropriate Diet, Fitness and Weight Management Programs is twice as effective as non-culturally appropriate

High demand for Offline Version of MiDieta that worked just as well

OnlineMiDieta

OfflineMiDieta

OnlineControl

OfflineControl

Subjects: N = 200 Florida Blue Cross Blue Shield Members followed for four months.

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Integrated Solution for HOPE

State-wide Awareness Campaign (#6)

State Level Partnerships (#8)

Website for HOPE (#7)

MiDieta™ Platform

Worksite

(#2)

Health-care

(#3)

Commun-ity

(#4)

Youth

(#1)

Funding

(#5)

Numbers refer to specific tasks

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MiDieta will be available through HOPE Florida - Website

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Benefits Available to Your Organization

Evaluations and Personalized Reports

MiDieta Program for Individuals– 12 week program– Counseling

Organization-level Progress Reports and Guidance

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The Overall Picture & Timeline

Mini-Grant Projects

Evaluations - I Evaluations - II

MiDieta (MyDiet)

Baseline Intervention Impact

Youth/Worksite/Healthcare Interventions

Expansion

Continuation

New Interventions

July Aug-Sept Oct-Dec 2008+

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School-Based MiDieta

Kids in school

Parents & Kids at Home Teachers & Administrators

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Discussion & Next Steps