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HOPE – For Better Nutrition, Fitness and Health among Floridians. Orlando, FL June 19 2007. Agenda & Objectives. I’ve got my mini-grant – Now What!? HOPE Diet/Fitness/Health Evaluations MiDieta (MyDiet) – Culturally-appropriate Healthy Eating & Fitness Program
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HOPE – For Better Nutrition, Fitness and Health among Floridians Orlando, FL June 19 2007
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!
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
Health Conditions among Hispanics Rise in obesity prevalence in US accounted for 27% of the growth in health spending over the past 20 years.Dr. Kenneth Thorpe, Woodruff Chair HPM Emory University
Diabetes Hypertension Depression Heart Disease Building an Application that Could AchieveMultiple Objectives Hispanic Culture Diet & Fitness Overweight & Obesity
HOPE – Diet, Fitness & Health Evaluations Optimized for Florida
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
Paper-based Evaluation • Paper version of Evaluation • Completed forms are scanned into our system & analyzed • Personal “profile” created online • Paper Report produced for Individual
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!
MiDieta / MyDiet – Culturally-personalized health improvement program
MiDieta/MyDiet™ Bilingual diet, fitness, weight management and health improvement weight-management that is: (a) Culturally and linguistically appropriate, and (b) Personalized
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
Main Features of MiDieta Program • 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
Bilingual personalized menu & fitness plan based on: • Gender • BMI • Goals • Condition • Food preferences
Weekly Reminders & Education • Bilingual • Multicultural • Interactive 30 DrTango Solutions
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
Current: General adult (age 15+) Overweight & Obese Pregnant Post-partum Post-partum (lactating) Offline Version MyDiet™ / MiDieta™ Suite – Populations & Conditions Forthcoming – 2007/08: • Diabetes Type II • Child Obesity
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)
Educational Level of Hispanics Seeking Health Information Online (n=18,245) 64% - Max. High School or less Percent CDC project: How Hispanics Use the Internet For Health. Schroeder et al. 2003
Main Findings From RWJF Research Study OnlineMiDieta OfflineMiDieta OnlineControl OfflineControl • Culturally-Appropriate Diet, Fitness and Weight Management Programs is twice as effective as non-culturally appropriate • High demand for Offline Version of MiDietathat worked just as well ANOVA: P=0.03 Subjects: N = 200 Florida Blue Cross Blue Shield Members followed for four months.
Benefits Available to Your Organization • Evaluations and Personalized Reports • MiDieta Program for Individuals • 12 week program • Counseling • Organization-level Progress Reports and Guidance
The Overall Picture & Timeline Evaluations - I Evaluations - II Continuation Mini-Grant Projects MiDieta (MyDiet) Youth/Worksite/Healthcare Interventions New Interventions Baseline Intervention Impact Expansion July Aug-Sept Oct-Dec 2008+
School-Based MiDieta Kids in school Parents & Kids at Home Teachers & Administrators
Discussion & Next Steps