Hispanic Obesity Prevention and Education HOPE Program Florida

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• Hispanic Obesity Prevention and Education (HOPE)
  Program - Florida

Dr. Dirk G. Schroeder Exec VP, DrTango Inc
HispaniCare Professor, Emory Univ.
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Objectives

• DrTango MiDieta
• Florida Hispanic Obesity Prevention and Education
  (HOPE) Program
• Expansion to Other States
• Opportunities for Collaboration

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DrTango - Business Mission

• Business
• Leverage technology to provide effective,
  low-cost and culturally-appropriate health
  management solutions.
• Mission
• To reverse the obesity epidemic and related
  chronic conditions among minorities
• Help narrow the health disparities gap

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Clients (partial list)
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DrTango Managed Care Clients
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Scaling Up in Florida

• In 2007, the Florida legislature allocated 2.5
  million in general revenue funds for a Hispanic
  Obesity Prevention Education (HOPE) program.
• DrTango selected to design, implemented and is
  managing HOPE

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Integrated Solution
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Hispanic-optimized Content - MiDieta/MyDiet

• Diet, fitness and weight-management application
  for Hispanics that is
• Personalized
• Culturally and linguistically appropriate w.
  Latin Foods
• Has Evaluations, Newsletters, Social Networking,
  Databases
• Backed by Latina Wellness Counselors
• Evidence-based and proven

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PanHispanicFoods A Cornerstone of MiDieta

• USDA Food Database - Translation
• Food Databases
• Mexico Guatemala Venezuela Peru Spain
• Processed and Prepared Foods
• Mexico Lean Cuisines -Restaurants in U.S.

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Main Features of Program

• Bilingual content Recipes, articles, nutrition
  tips, etc
• Personalized programs (offline online) menu
  plans, fitness programs, shopping lists, tracking
  tools
• Bilingual nutrition counselors
• Ability for consumers to form online support
  groups

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Weekly eNewsletter

• Bilingual
• Multicultural
• Interactive

DrTango Solutions
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Culturally Linguistically Appropriate Evaluatio
n
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• Personal Home Page for each participant.
• Bilingual personalized menu fitness plan based
  on
• Gender
• BMI
• Goals
• Condition
• Food
• preferences

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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 Ive found
many options for every meal, and the best thing
of all, its Latin food, the food that were used
to!! Congratulations, and keep up the good work!

Melisa
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Design your Exercise Plan

• Members can choose between two options
• Exercise videos with pre-designed routines by a
  professional trainer.
• Create your own exercise routine.

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Also available on paper

• Scannable Evaluation
• Personal Report
• DVD - custom
• Waist Tape
• Exchange Lists
• Eating Out Guide

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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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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 MiDieta that
  worked just as well

ANOVA P0.03
Subjects N 200 Florida Blue Cross Blue Shield
Members followed for four months.
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Personal Evaluation and Report

• A Cornerstone of Program Customized for Florida
• For State Organizations
• Detailed data on individuals
• In-depth understanding of where and why
• For Individuals
• Personalized report (online/offline)
• Discussion resource for sharing with
  doctor/family
• Baseline for goal setting improvement
• 75,000 being distributed around state

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Paper / Web Integration - MiDieta
Distribute Fill Form
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Custom MiDieta online for client
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Print Delivers Personalized Reports on Paper
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Scan Form
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Awareness Campaign
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HOPE for Youth
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Mini-Grants

• 28 grants totalling 325,000 to Florida community
  organizations
• Kick-off and Best Practices Showcase
• Common data-gathering instruments, including
  evaluation

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State-level Partnership

• Goals Assure success and sustainability
• Partners
• Healthcare Tenet, BCBSFL, Humana, Merck
• Food Sodexho, Publix
• Media Univision, Yahoo
• Private Hispanic-owned or employing businesses
• Community Organizations
• Goal 2 million in commitments in 2008
• Partners Meeting Hispanic Obesity in Florida
  Fall 2008

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HOPE Measurable Goals

• State-wide Assessment 75,000 individual,
  culturally-appropriate diet, fitness and health
  evaluations reports
• Tailored Guidance 12,000 individual receiving
  counseling bilingual counselors
• Sustainability Partners Addl Funds
• Expansion Children lt 13 years
• Expansion to other States Countries
• Mass. NY Texas - Illinois

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Opportunities

• Becoming a HOPE Partner Florida
• Replicating HOPE in other States
• Adapt components of HOPE
• Evaluation (online/Paper)
• MiDieta/MyDiet
• HOPE Promotion Toolkit

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Discussion