Health Promotions at Blue Cross and Blue Shield of Kansas City - PowerPoint PPT Presentation

Health Promotions at Blue Cross and Blue Shield of Kansas City March 13, 2013

Presentation Overview • Epidemic of childhood obesity • Guiding framework • Review of programs • Preliminary results • Questions 2

Childhood Obesity Prevalence 3

Childhood Obesity: A National Epidemic 40% • One in three children is obese or overweight in the U.S. (12.5 30% million)  17% obese Percent  KC statistics 20% 6 - 11 • 41% of school age children are overweight 12 - 19 or obese • Ethnic & racial disparities exist 10%  Non-Hispanic blacks • Highest in African American girls (29.2%) 0%  Hispanic 1994 2001 2008 2015 2022 2029 2036 Year • Highest in Mexican American boys (26.8%) Wang et. Al, 2008 4

Cost of Childhood Obesity • Obesity in children associated with decreased health status  Type 2 diabetes, asthma, hypertension, depression, body image disturbance  300,000 deaths attributed to obesity each year • Healthcare related costs  $3 BILLION in direct medical costs incurred  Elevated BMI in childhood = 14.1 billion costs • prescription drug, ER, and outpatient visits costs annually  3x more costly than normal weight children Behavioral Risk Factor Surveillance System, CDC, 2008 5

Blue KC Health Promotions Aims • To increase Blue KC’s visibility and recognition as health promotion leader locally 1 • To extend childhood obesity-related outreach efforts for members and the 2 community • To deliver evidence-based high-impact programs 3 • To evaluate program performance using qualitative and quantitative measures 4 6

Our Multi-Level Programmatic Approach McLeroy et al., 1988 7

• Leverage position in marketplace to High Impact employ collaborative approach to work Partnership Programs • Diversify programs to include multi-level Focus Areas : interventions Public Health Modeling Community Engagement & Participation • Contribute to local evidence base Best Practices Impactful Programs Awareness/Knowledge • Utilize external and internal data sources Education/Behavioral to inform programs Data-Driven Clinical Outcomes • Integrative evaluation plan to maximize Systematic Evaluation & program reach & effectively impact Dissemination program targets Analysis 8

Blue KC’s Powered BY HP Initiatives Individual: Outreach/Awareness • Chiefs Sports Lab  Provides an interactive environment where kids can use technology & gaming as tools to learn about nutrition, physical activity, and injury prevention. • Other Sports Sponsorships  Partnerships with the area professional sports teams to tackle childhood obesity through promoting active living among area youth. Individual: Education/Behavior Change • Girls on the Run  After-school program for girls incorporating health education with physical activity training. • Art of Healthy Lifestyles  Partnership with KCYA to develop and pilot test an arts-based obesity health education program from students K-2. 9

Blue KC’s Powered BY HP Initiatives Individual/Family/Community: Behavioral/Clinical Outcomes  MEND (Mind, Exercise, Nutrition, Do it!)  Childhood Obesity Health Benefit  Family Weight Management Coaching Program- clinical prevention program for Blue KC members (overweight and obese children/adolescent and their families) Community/Environmental/Policy  KaBoom!- community-led effort to create playspaces in underserved communities  KC B-Cycle  YEAH! Program (Youth Educators and Advocates for Health) 10

2 0 1 2 He a l t h Pr o m o t i o n s Pr o g r a m Re a c h • Total number of schools • 94 schools • Total number of youth • 12,467 youth • Total number of non- school-based sites • 8 sites • Total number of school Chiefs Sports Lab districts • Girls on the Run 16 districts MEND • Total HFS completed: 8958 YMCA Healthy Families • Nearly 9,000 families engaged 11

Participant Characteristics Across Programs 21% 79% Nonmember Member 12

Descriptive Findings Across Programs Weight Status by Participant Weight Status by Race 70% 60% 57% 52% 57% 60% 50% 47% 50% 40% 40% Percent 34% 33% 32% Percent Underweight 30% 30% 26% Parent Normal 26% Child Overweight 19% 21% 21% 20% 16% 19% Obese 20% 17% 10% 7% 1% 10% 8% 6% 0% 2% 0% White Black Other Weight Category Youth Race 13

Participant Weight Status by Zip Code 14

Outreach/Education Targets: Chief s Sports Lab Overview Key Program Findings • Program Site: KC Chiefs • Knowledge acquisition in Arrowhead Stadium dietary and PA • Program Sessions : 2-Hour recommendations • Obese families score lower Experience on evaluation survey than • Participation : normal weight families  6,809 student participants  5,065 HFS completed • Blue KC Families : 10% 15

Education/Behavior Targets: Girls on the Run Overview Post Program Findings • Program Sites : 23 sites • Increased family physical activity • Program Design : 10-weeks; • Decrease junk food 2 sessions/week Participation : 429 girls consumption participated, 98.3% • Increased self-esteem retention • Blue KC Families : 14% 16

Community/Environment Targets: KaBoom! Scope of Work Community Transformation • Aim: To address KC play deserts in urban core • Partners:  Blue KC, KaBoom!, KC Housing Authority, faith institutions, youth-focused CBOs, neighborhood associations • Build Day 2012  300 community volunteers  Over 800+ children have access to playground 17

Community/Environment Targets: KC B-Cycle Overview Community Transformation • 12-station bikeshare system • 120 bikes • System launch: Summer 2012 • Total bike rides: 7,237 18

Clinical Targets: Family W eight Management Overview Findings/Next Steps • • Self-reported outcomes: Program Targets:  Behavioral: P A and diet  increase in daily PA  Clinical: Weight  increased daily vegetable and reduction/stabilization fruit intake • Program Delivery: Telephonic  weight maintenance observed • Duration: 3-month intervention • Expansion to Blue KC • Program Sessions: members  12 weekly 1-hr group telephonic family sessions • 15 min: child-focus • 45 min: family/parent focus • Participation: overweight and obese children & parent(s) 19

Acknowledgements Partners: Kansas City Chiefs Kansas City Royals Sporting Kansas City Girls on the Run of Greater Kansas City Kansas City Young Audiences MEND Foundation Kansas University Medical Center Alliance for a Healthier Generation BikeWalk Kansas City KaBoom! Kansas City Healthy Kids 20