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2
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!
3
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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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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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™
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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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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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+