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

• One in three children is obese or
• verweight in the U.S. (12.5

million)

• 17% obese
• KC statistics
• 41% of school age children are overweight
• r obese
• Ethnic & racial disparities exist
• Non-Hispanic blacks
• Highest in African American girls (29.2%)
• Hispanic
• Highest in Mexican American boys (26.8%)

4

0% 10% 20% 30% 40% 1994 2001 2008 2015 2022 2029 2036 Percent Year 6 - 11 12 - 19

Wang et. Al, 2008

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

5 Behavioral Risk Factor Surveillance System, CDC, 2008

Blue KC Health Promotions Aims

1

• To increase Blue KC’s visibility and recognition as health promotion leader

locally

2

• To extend childhood obesity-related outreach efforts for members and the

community

3

• To deliver evidence-based high-impact programs

4

• To evaluate program performance using qualitative and quantitative measures

6

Our Multi-Level Programmatic Approach

7 McLeroy et al., 1988

High Impact Programs

Focus Areas:

Community Engagement & Participation Impactful Programs

Awareness/Knowledge Education/Behavioral Clinical Outcomes

Systematic Evaluation & Dissemination

Partnership

• Leverage position in marketplace to

employ collaborative approach to work

Public Health Modeling

• Diversify programs to include multi-level

interventions

Best Practices

• Contribute to local evidence base

Data-Driven

• Utilize external and internal data sources

to inform programs

Analysis

• Integrative evaluation plan to maximize

program reach & effectively impact program targets

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
• besity 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

districts

• 16 districts
• Total HFS completed: 8958
• Nearly 9,000 families

engaged

11

Chiefs Sports Lab Girls on the Run MEND YMCA Healthy Families

Participant Characteristics Across Programs

12

79% 21% Nonmember Member

Descriptive Findings Across Programs

Weight Status by Participant Weight Status by Race

13

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

Participant Weight Status by Zip Code

14

Outreach/Education Targets: Chief s Sports Lab

Overview

• Program Site: KC Chiefs

Arrowhead Stadium

• Program Sessions: 2-Hour

Experience

• Participation:
• 6,809 student participants
• 5,065 HFS completed
• Blue KC Families: 10%

Key Program Findings

• Knowledge acquisition in

dietary and PA recommendations

• Obese families score lower
• n evaluation survey than

normal weight families

15

Education/Behavior Targets: Girls on the Run Overview

• Program Sites: 23 sites
• Program Design: 10-weeks;

2 sessions/week Participation: 429 girls participated, 98.3% retention

• Blue KC Families: 14%

Post Program Findings

• Increased family physical

activity

• Decrease junk food

consumption

• Increased self-esteem

16

Community/Environment Targets: KaBoom! Scope of Work

• 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

Community Transformation

17

Community/Environment Targets: KC B-Cycle Overview

• 12-station bikeshare system
• 120 bikes
• System launch: Summer

2012

• Total bike rides: 7,237

Community Transformation

18

Clinical Targets: Family W eight Management Overview

• Program Targets:
• Behavioral: P

A and diet

• Clinical: Weight

reduction/stabilization

• Program Delivery: Telephonic
• Duration: 3-month intervention
• Program Sessions:
• 12 weekly 1-hr group

telephonic family sessions

• 15 min: child-focus
• 45 min: family/parent focus
• Participation: overweight and
• bese children & parent(s)

Findings/Next Steps

• Self-reported outcomes:
• increase in daily PA
• increased daily vegetable and

fruit intake

• weight maintenance observed
• Expansion to Blue KC

members

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