- Email: [email protected]
The Market Basket Program: Improving Food Security in Nutritionally At-Risk Populations
TUESDAY, OCTOBER 6
Poster Session: Wellness and Public Health Progress Report - Changes on the Menu: Hospital Food Turns Tasty and Healthy Author(s): T.L. Young, W.C. Barkley; Food Service, Sodexo at Children’s Mercy Hospital, Kansas City, MO Learning Outcome: Participants will be able to describe how hospitals and health care systems can use the PHA initiative to increase community initiatives and hospital loyalty. Children’s Mercy Hospitals and Clinics (CMH) located in the Kansas City metropolitan area joined the Partnership for a Healthier America (PHA) in 2012. The Sodexo Food Services Department began the process of implementation of the food and beverage guidelines set by the PHA in January of 2013. Processes were put in to place to continually meet the increasing annual requirements for our commitment. CMH joined the PHA to set the example for other health care institutions and reduce the prevalence of childhood obesity in our immediate population. CMH hospitals and clinics hold over 90% of the market share in the Kansas City Metropolitan area, which provides a large urban population and the ability to create a change in childhood obesity rates. Through the initiative the goal is to make the healthy choice the easy choice for our employees, patients, and their families, and to serve as a model for healthier eating. The implementation of the guidelines included removing all sugar sweetened beverages from retail and vending outlets, increasing the amount of fruits and vegetables purchased, provide wellness meals at every eating occasion, purchase and implement new cooking equipment to eliminate deep fat frying, and provide overall healthier menu options for all. CMH has successfully met the commitment for two years, and is continuing to improve the food and beverage options for the third year as a partner. These efforts are being modeled in other institutions as best practices and serve to lead others toward increasing their healthier menu offerings. Funding Disclosure: None
FitKids: A Web-Based, mHealth Tool to Enhance Parents’ Participation in Improving Child Health Author(s): M.M. Clayton, S.L. McDonald, R. Homayouni, S. Kedia, G. Ullmann, B.C. Mayfield, C.A. Collins, A.C. Alexander, M. Schmidt, C. Akkus, C. Williams, K.D. Ward; Social and Behavioral Sciences, University of Memphis, School of Public Health, Memphis, TN Learning Outcome: Participants will be able to identify an innovative mHealth tool aimed at reducing pediatric obesity rates by raising parents’ risk awareness; providing tailored child behavior recommendations; connecting families to community; and facilitating healthcare provider outreach. Over the last 30 years, U.S. obesity rates have doubled for children and quadrupled for adolescents, with an associated increase in pediatric pre- and type 2 diabetes and hypercholesterolemia. This public health crisis has spurred interest in mobile health (mHealth) interventions that maximize reach, particularly to at-risk populations. Using a social ecological framework, our team has developed ‘FitKids’ (www.memphisfitkids.org), a web-based mHealth tool for parents to assess their child’s weight, growth pattern, diet, physical activity, and sleep adequacy. Utilizing parent-reported data, FitKids provides tailored, evidence-based recommendations for improving child health behaviors and family health habits. A customized Geographic Information System (GIS) feature identifies local, convenient resources for healthful eating and activity. This tool is accessible on personal and public computers and at free FitKids computer kiosks strategically situated at high family-trafficked locations such as libraries, YMCAs, museums, and child activitypromoting businesses, like SkyZone. Our project team continues to develop strategic partnerships with regional organizations and businesses to promote wider dissemination and adoption of the FitKids tool. Evolving pediatrician partnerships will enable parents to send their child’s individualized ‘FitCheck’ report directly to their healthcare provider (HCP) to cue and facilitate specific appointment health habit discussions. Process and outcome evaluation procedures using the RE-AIM framework and Logic Model are in place and demonstrate project efficacy. Given the novelty of this comprehensive tool, which other communities can adapt for use and tailor to local target populations, we propose to outline FitKids’ functionality and to highlight its feasibility and wide acceptability. Funding Disclosure: Tennessee Health Foundation & FedEx Institute of Technology
Utilization of Online Technology Programs/Tools to Enhance Members Meeting Their Personal Health Goal as Part of an Employer-Based Wellness Program
The Market Basket Program: Improving Food Security in Nutritionally At-Risk Populations
Author(s): C. Bell, K. Ziemkiewicz, J. Ruppert; Health Management, Interactive Health, Schaumburg, IL
Author(s): C. O’Steen Brust, K.J. Costello, B.M. Torres; Open Hand Atlanta, Atlanta, GA
Learning Outcome: The participant will be able to explain how access to online technology programs and tools can enhance an individual’s personal health goal as part of an employer-based wellness program.
Learning Outcome: Participants will be able to describe one behavioral or environmental intervention to support nutritionally at-risk populations.
Background: Interactive Health offers multi-channeled coaching programs delivered by RDNs. Depending on an individual’s readiness to change and employer wellness program design, health coaching is offered both telephonically and online and is individualized for the best outcomes and user satisfaction. Online self-directed coaching programs and “Ask the Dietitian” are available on the website platform. Over 25 online programs address an individual’s whole health to increase health awareness through a customized educational approach that addresses physical, emotional, and financial health. The RDNs can monitor and assign specific programs, and are available for further support to review food records, health logs, and activity tracking. In a year-to-year assessment, 74% (n¼ 97,125) of 2 year participating members with an on-line account met their composite health goal. Additionally 80% (n¼77,770) of members with an online account, who participate in a health evaluation, continue to be actively engaged throughout the wellness program year. Web members saw a 12-point (n¼138,751) higher rate to meet their composite health goal compared to those without an online account. Web members with any online activity between screenings saw a 10-point (n¼97,125) higher rate to meet their composite health goal. A web-based platform delivers wellness activities that are convenient, self-directed and accessible for all employees. Provision of a digital approach individualized to health awareness and education with access to RDN expertise can promote a higher level of engagement, therefore improved outcomes. Funding Disclosure: None
Proper nutrition is critical for improved health outcomes in people living with HIV/AIDS (PLWHA). Supplying supplemental foods to food insecure patients improves effectiveness of and adherence to medications and treatments. Furthermore, food and nutrition services serve as a gateway for engagement in medical care. Social Cognitive Theory explains that behavior is caused by personal, behavioral, and environmental influences; thus, food provision alone may not be enough to improve health outcomes. Recognizing this, in 2013 Open Hand Atlanta established the Market Basket Program (MBP), which provides PLWHA a weekly supply of home delivered local seasonal produce, nutritious shelf stable foods, nutrition education, recipes, and information on community resources. Services are provided to 141 individuals, primarily African American (91.5%), throughout metro Atlanta averaging 51years of age and a yearly income of $8,695.96. Open Hand’s registered dietitians select content for the Market Baskets to meet two-thirds of the participant’s weekly nutritional needs. This program’s pilot study found that 60.2% of participants increased nutrition knowledge, 76.6% increased consumption of fruits and vegetables, and 36% of participants reported never or rarely being concerned about having enough food. Through focus groups and surveys we discovered that our baskets give participants the resources to cook - an activity that many of them enjoy. As the program expands, we aim to increase participant’s self-efficacy to make healthy food consumption choices by focusing on incremental changes to behavior and environment. The Market Basket Program can be used as a model for nutrition and behavior interventions across nutritionally at-risk populations. Funding Disclosure: HOPWA and Ryan White Grant Funding
A-94
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2015 Suppl 2—Abstracts Volume 115 Number 9
Poster Session: Wellness and Public Health Progress Report - Changes on the Menu: Hospital Food Turns Tasty and Healthy Author(s): T.L. Young, W.C. Barkley; Food Service, Sodexo at Children’s Mercy Hospital, Kansas City, MO Learning Outcome: Participants will be able to describe how hospitals and health care systems can use the PHA initiative to increase community initiatives and hospital loyalty. Children’s Mercy Hospitals and Clinics (CMH) located in the Kansas City metropolitan area joined the Partnership for a Healthier America (PHA) in 2012. The Sodexo Food Services Department began the process of implementation of the food and beverage guidelines set by the PHA in January of 2013. Processes were put in to place to continually meet the increasing annual requirements for our commitment. CMH joined the PHA to set the example for other health care institutions and reduce the prevalence of childhood obesity in our immediate population. CMH hospitals and clinics hold over 90% of the market share in the Kansas City Metropolitan area, which provides a large urban population and the ability to create a change in childhood obesity rates. Through the initiative the goal is to make the healthy choice the easy choice for our employees, patients, and their families, and to serve as a model for healthier eating. The implementation of the guidelines included removing all sugar sweetened beverages from retail and vending outlets, increasing the amount of fruits and vegetables purchased, provide wellness meals at every eating occasion, purchase and implement new cooking equipment to eliminate deep fat frying, and provide overall healthier menu options for all. CMH has successfully met the commitment for two years, and is continuing to improve the food and beverage options for the third year as a partner. These efforts are being modeled in other institutions as best practices and serve to lead others toward increasing their healthier menu offerings. Funding Disclosure: None
FitKids: A Web-Based, mHealth Tool to Enhance Parents’ Participation in Improving Child Health Author(s): M.M. Clayton, S.L. McDonald, R. Homayouni, S. Kedia, G. Ullmann, B.C. Mayfield, C.A. Collins, A.C. Alexander, M. Schmidt, C. Akkus, C. Williams, K.D. Ward; Social and Behavioral Sciences, University of Memphis, School of Public Health, Memphis, TN Learning Outcome: Participants will be able to identify an innovative mHealth tool aimed at reducing pediatric obesity rates by raising parents’ risk awareness; providing tailored child behavior recommendations; connecting families to community; and facilitating healthcare provider outreach. Over the last 30 years, U.S. obesity rates have doubled for children and quadrupled for adolescents, with an associated increase in pediatric pre- and type 2 diabetes and hypercholesterolemia. This public health crisis has spurred interest in mobile health (mHealth) interventions that maximize reach, particularly to at-risk populations. Using a social ecological framework, our team has developed ‘FitKids’ (www.memphisfitkids.org), a web-based mHealth tool for parents to assess their child’s weight, growth pattern, diet, physical activity, and sleep adequacy. Utilizing parent-reported data, FitKids provides tailored, evidence-based recommendations for improving child health behaviors and family health habits. A customized Geographic Information System (GIS) feature identifies local, convenient resources for healthful eating and activity. This tool is accessible on personal and public computers and at free FitKids computer kiosks strategically situated at high family-trafficked locations such as libraries, YMCAs, museums, and child activitypromoting businesses, like SkyZone. Our project team continues to develop strategic partnerships with regional organizations and businesses to promote wider dissemination and adoption of the FitKids tool. Evolving pediatrician partnerships will enable parents to send their child’s individualized ‘FitCheck’ report directly to their healthcare provider (HCP) to cue and facilitate specific appointment health habit discussions. Process and outcome evaluation procedures using the RE-AIM framework and Logic Model are in place and demonstrate project efficacy. Given the novelty of this comprehensive tool, which other communities can adapt for use and tailor to local target populations, we propose to outline FitKids’ functionality and to highlight its feasibility and wide acceptability. Funding Disclosure: Tennessee Health Foundation & FedEx Institute of Technology
Utilization of Online Technology Programs/Tools to Enhance Members Meeting Their Personal Health Goal as Part of an Employer-Based Wellness Program
The Market Basket Program: Improving Food Security in Nutritionally At-Risk Populations
Author(s): C. Bell, K. Ziemkiewicz, J. Ruppert; Health Management, Interactive Health, Schaumburg, IL
Author(s): C. O’Steen Brust, K.J. Costello, B.M. Torres; Open Hand Atlanta, Atlanta, GA
Learning Outcome: The participant will be able to explain how access to online technology programs and tools can enhance an individual’s personal health goal as part of an employer-based wellness program.
Learning Outcome: Participants will be able to describe one behavioral or environmental intervention to support nutritionally at-risk populations.
Background: Interactive Health offers multi-channeled coaching programs delivered by RDNs. Depending on an individual’s readiness to change and employer wellness program design, health coaching is offered both telephonically and online and is individualized for the best outcomes and user satisfaction. Online self-directed coaching programs and “Ask the Dietitian” are available on the website platform. Over 25 online programs address an individual’s whole health to increase health awareness through a customized educational approach that addresses physical, emotional, and financial health. The RDNs can monitor and assign specific programs, and are available for further support to review food records, health logs, and activity tracking. In a year-to-year assessment, 74% (n¼ 97,125) of 2 year participating members with an on-line account met their composite health goal. Additionally 80% (n¼77,770) of members with an online account, who participate in a health evaluation, continue to be actively engaged throughout the wellness program year. Web members saw a 12-point (n¼138,751) higher rate to meet their composite health goal compared to those without an online account. Web members with any online activity between screenings saw a 10-point (n¼97,125) higher rate to meet their composite health goal. A web-based platform delivers wellness activities that are convenient, self-directed and accessible for all employees. Provision of a digital approach individualized to health awareness and education with access to RDN expertise can promote a higher level of engagement, therefore improved outcomes. Funding Disclosure: None
Proper nutrition is critical for improved health outcomes in people living with HIV/AIDS (PLWHA). Supplying supplemental foods to food insecure patients improves effectiveness of and adherence to medications and treatments. Furthermore, food and nutrition services serve as a gateway for engagement in medical care. Social Cognitive Theory explains that behavior is caused by personal, behavioral, and environmental influences; thus, food provision alone may not be enough to improve health outcomes. Recognizing this, in 2013 Open Hand Atlanta established the Market Basket Program (MBP), which provides PLWHA a weekly supply of home delivered local seasonal produce, nutritious shelf stable foods, nutrition education, recipes, and information on community resources. Services are provided to 141 individuals, primarily African American (91.5%), throughout metro Atlanta averaging 51years of age and a yearly income of $8,695.96. Open Hand’s registered dietitians select content for the Market Baskets to meet two-thirds of the participant’s weekly nutritional needs. This program’s pilot study found that 60.2% of participants increased nutrition knowledge, 76.6% increased consumption of fruits and vegetables, and 36% of participants reported never or rarely being concerned about having enough food. Through focus groups and surveys we discovered that our baskets give participants the resources to cook - an activity that many of them enjoy. As the program expands, we aim to increase participant’s self-efficacy to make healthy food consumption choices by focusing on incremental changes to behavior and environment. The Market Basket Program can be used as a model for nutrition and behavior interventions across nutritionally at-risk populations. Funding Disclosure: HOPWA and Ryan White Grant Funding
A-94
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2015 Suppl 2—Abstracts Volume 115 Number 9