1199SEIU Diabetes Prevention Program at Mount Sinai Beth Israel. Evaluation Findings

Transcription

1 1199SEIU Diabetes Prevention Program at Mount Sinai Beth Israel Evaluation Findings 1

2 AGENDA About the LMP & WCHP Program Stakeholders & Description Evaluation Purpose & Methods Participant Characteristics Outcomes Process Findings Questions 2

3 About the LMP & WCHP Mission: To support the partnership of labor and management health care teams to achieve positive work environments, excellent care and community wellbeing LMP s Workplace and Community Health Program (WCHP) helps hospitals improve the health and wellness of their workers, through priority setting, program design, implementation support and evaluation 3

4 Program Stakeholders 1199SEIU and Mount Sinai leadership agreed to pilot the DPP at MSBI in 2015 Labor management planning committee formed 1199SEIU MSBI WCHP 1199SEIU National Benefit Fund WCHP provided program coordination 4

5 Program Timeline April 2015 Aug Aug May 2016 Sept Oct June 2016 Summer 2017 Labormanagement planning committee launched bi-monthly meetings Peer lifestyle coach recruitment Delegates mtgs., flyer, Ongoing participant recruitment Lifestyle Coach training 8 MSBI employees 2 WCHP staff Staggered launch of 6 cohorts Average size: 13 Last cohort ended in May Final planning committee mtg. in June 5

6 Evaluation Purpose To assess the feasibility and effectiveness of implementing the DPP at a unionized hospital worksite To contribute to the body of knowledge regarding DPP implementation best practices 6

7 Evaluation Methods Sign-in sheets METHOD Weight and physical activity tracking log NDPP Participant Satisfaction Survey Modified New York Academy of Medicine (NYAM) behavioral and attitudinal survey Drop-out/non-participant interviews Participant focus groups Planning committee interviews Coach interviews and mini-survey 7 All participants All participants SAMPLE All available participants Participants in 3 cohorts Baseline (N=40) Midpoint (N=29) Endline (N=21) Drop-outs (N=9) Non-participants (N=11) All available participants (N=40) Union (N=4), MSBI (N=3) LMP/WCHP (N=5) All coaches (N=8)

8 Participant Characteristics Characteristic Gender (N=80) Female Male Age group (N=69) years years 65 and older Average age (N=69) Race/Ethnicity (N=80) Non-Hispanic Black or African American Hispanic/Latino Non-Hispanic White or Caucasian Asian or Asian American Other Native American or Alaska Native Affiliation (N=79) Union Management 8 % of Participants 85.0 % 15.0 % 33.3 % 65.2 % 1.3 % 47.2 years 47.5 % 32.5 % 7.5 % 7.5 % 3.8 % 1.3 % 77.2 % 22.8 %

9 Participant Department Department % of Participants Specialties 23.4% Imaging 16.9% Administrative 14.3% Medicine 7.8% Behavioral health 7.8% Environmental services 5.2% Transport 5.2% Nursing 5.2% Engineering 2.6% Therapies 2.6% Other 9.1% 9

10 Weight Loss Outcomes 75% of participants lost weight Average weight loss was 2.8% 25% met the CDC target of at least 5% weight loss 10

11 Cohort F Achieved Greatest Weight Loss (and Best Attendance) 6% AVERAGE PERCENTAGE WEIGHT LOSS 5% 4% 3% 2.8% 2% 1% 3.7% 3.4% 3.2% 2.8% 2.6% 2.5% 2.5% 4.1% 3.5% 2.5% 2.2% 1.9% 1.4% 0% All Cohorts (N=80) Cohort A (N=17) Cohort B (N=9) Cohort C (N=14) Cohort D (N=18) Cohort E (N=9) Cohort F (N=13) 6 months 12 months 11

12 7% 6% 5% 4% Participants Attending 25+ Sessions Met 5% Goal AVERAGE PERCENT WEIGHT LOSS BY NUMBER OF SESSIONS ATTENDED 4.1% 5.2% 3% 2% 1% 1.0% 1.2% 0% 4 to 8 (N=17) 9 to 16 (N=21) 17 to 24 (N=31) 25 (N=11) # of Sessions Attended 12

13 Days Physical Activity Increased 7 6 On how many of the last 7 days did you participate in at least 30 minutes of continuous physical activity? Baseline (N=40) Midpoint (N=29) Endline (N=21) 13

14 SSB Consumption Decreased The percentage of survey respondents who reported drinking 1 SSB per day dropped from 63% to 38% DAILY SODA & SSB CONSUMPTION OVER THE PAST 7 DAYS 0 Sodas/SSBs 1 Soda/SSB 2 Sodas/SSBs 3 sodas/ssbs Baseline (N=38) 37% 29% 26% 8% Midpoint (N=26) 58% 39% 4% Endline (N=21) 62% 38% Percentage of participants 14

15 Labor Management Relationship Early buy-in from Union and management leadership critical to launching and sustaining the DPP Collaborative labor-management planning committee instrumental to successful program planning and implementation Frequent communication with Union and management partners necessary for resolving logistical challenges 15

16 Participant Recruitment Recruitment Method Percentage of Program Sign-Ups (N=153) DIRECT (Total) 77.5 % LMP Onsite Outreach (Dept. Visits, Tabling) 53.6 % Participant or Employee Referrals 11.9 % Nurse Ambassador 8.6 % Lifestyle Coach Referral 2.0 % Union Staff Referral 1.3 % INDIRECT (Total) 22.5 % Management % Poster or Flyer 1.3 % 16

17 Participant Engagement Robust and continuous efforts to support and retain participants Coaches called, texted and ed between sessions For those who missed consecutive sessions, coaches made repeated attempts to reengage 17

18 Challenges and Solutions Challenges Difficulty understanding serving sizes, portion control, food labels, calculating fat grams and calories, and tracking food intake Minimal knowledge of healthy cooking methods Difficulty initiating or maintaining an exercise regimen Programmatic Solutions Portion plates, measuring cups, measuring spoons Props depicting the amount of fat or sugar in foods Healthy cooking demonstration Farmers market visit Dedicated physical activity sessions (e.g., walking, exercising in the park ) Demonstrations with resistance bands, light weights and jump ropes Need for greater frequency of post-core sessions 18 Changed post-core session frequency from once a month to twice a month for last 3 cohorts

19 Solutions 19

20 Reasons for Drop-Out Release barriers Heavy workload Relocation to a different work site Needing time for other personal priorities Curriculum was too basic, covering familiar topics 20

21 Culture of Wellness Labor-management collaboration on the DPP laid groundwork for developing a worksite wellness program Formed a subcommittee dedicated to fostering environmental and policy change to promote healthy eating and physical activity In concert, the DPP planning committee and subcommittee created the will and momentum to launch a co-led labormanagement wellness committee in

22 Planning Committee Members MSBI Barbara Barnett, MD, Chief Medical Officer Christopher Berner, VP of Human Resources David D Souza, MD, Medical Director, Occupational Medicine Donnette Truss, Senior Manager of Human Resources, Mount Sinai Beth Israel 1199SEIU National Benefit Fund Celia Schmukler, MD, Medical Director, Wellness and Member Assistance Programs SEIU Eva James, Contract Administrator, RN Division Manuel Leon, VP Patricia Marthone, MD, VP, RN Division Anna Ortiz, Contract Administrator Estela Vazquez, EVP LMP/WCHP Andrew Goodman, MD, Advisor Marcia Mayfield, Senior Research Manager Kemmely Mondell, Field Coordinator Chris Pernell, MD, Senior Manager Latisha Thomas, Research Analyst Sonali Das, Research Analyst

23 Evaluation Report Available on our website 23

24 Contact Us Chris Pernell, MD, MPH Senior Manager, WCHP (212) Marcia Mayfield, MPH Senior Research Manager (212)