Consultancy Proposal to NYC DOHMH
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Transcript of Consultancy Proposal to NYC DOHMH
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Practicum Final Presentation
“Access to Free and Low-Cost Physical Activity Programs”
Team: Kristina Capron, Ellen Davidson, Talar Khatchadourian, Mina Nabizada, Thea Rome,
Brian Stern and Eda Tekeoglu
Supervisor: Stacey Flanagan
Graduate Program in International Affairs The New School
May 13, 2011
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The Project
• NYC Department of Health and Mental Hygiene (DOHMH)
– Department of Built Environment
– Bureau of Chronic Disease Prevention and Control
• Increasing access to free and low-cost physical activity programs and spaces in the five highest-needs NYC neighborhoods:
– North/Central Brooklyn
– East/Central Harlem
– South Bronx
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Methodology
• Primary research composed of surveys and interviews
• Assessment of physical activity programs abroad and in NYC (including Shape-Up and walking groups)
• Analysis of non-profit physical activity partnerships
• Business wellness surveys
• Final proposal and recommendations to NYC DOHMH
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Active Design Guidelines
Built Environment Program
Active Design Guidelines:
•Taking the stairs: Choosing the stairs instead of the elevator is a quick way for people to add physical activity to their day
Google Image
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The Obesity Epidemic in NYC
Obesity increases the likelihood of and burden of various chronic diseases
•East Harlem: Almost two thirds of adults are overweight or obese
•Central Brooklyn: 32% of adults have high blood pressure and 26% have high cholesterol
•South Bronx: 1 in 4 adults (25%) is obese and almost half of adults (45%) report doing no physical activity
Source: Take Care NYC Community Profile, 2006
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Deliverable I
Comparative Analysis of Physical Activity Programs
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City Paris, France
London,
UK
Los Angeles,
California
Chicago, Illinois
Low Cost/Free Physical Activity Programming to Specific Demographic
No No No No
Low Cost/Free Physical Activity Advice and/or Guides
Yes Yes Yes No
Park Locator Yes Yes Yes No
Online Tools for Managing Health Yes Yes Yes No
Interactive Website Yes Yes Yes No
Domestic analysis: •Little to no successful programs exist
International analysis: •Paris offers interactive campaign
Key findings:•Client requests for Paris and Taiwan overview
International and Domestic Physical Activity Campaigns
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I: Comparative Analysis of Physical Activity Programs continued
Paris
•Posters promote 30 min of physical activity
•Walking signs as reference for pedestrians
•Physical elements not well suited for NYC high needs neighborhoods
“Bouger” campaign: Signage showing walking distance
Google Image
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Our conclusions
•Need for greater use of signs, posters and advertisements•Caution - consider the demographics
Taiwan
•Greater social marketing techniques could help promote physical activity
Signs in Taiwan: Walk 1000 steps
Google Image
I: Comparative Analysis of Physical Activity Programs continued
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Deliverable II
Walking Group Feasibility Case Study
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City Life is Moving Bodies (CLIMB)
•Columbia University Medical Center
•Community-based initiative: community health depends on safe parks and neighborhoods
•Since 2003, created and physically linked multi-use hiking trails, linked organizations, institutions, and the community Annual Hike the Heights –
promotes initiative and multi-generational activities
Google Image
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“You have to make walking fun in order to motivate people” - Monique Hedmann, Walk it Out!
• Sponsored by the NYS DOH
• Comprehensive physical activity program for senior citizens residing in Harlem
• Partners with Columbia University – student walking instructors
• Partners with 10 senior centers in Central Harlem
• High turn-out due to incentives: t-shirts, water bottles, sweatshirts, and drawstring bags
Google Image
Walk it Out! At the Harlem Hospital Center
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• Empire BCBS/City of New York Parks and Recreation
• Empire BCBS: targeting blood pressure among senior citizens in all 5 boroughs
• Low to no turn out reported at Thomas Jefferson Park in East Harlem – As of today, location is cancelled Team Photo of Walk NYC Flyer
Walk NYC
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Findings
“Walking groups for seniors are difficult: Promoting health benefits is not effective” -Dr. Hernández-Cordero,CLIMB
•We learned from CLIMB and Walk it Out! that incentives, promoting multi-generational activities, socializing/bonding with peers, and walking with a purpose are great motivatorsGoogle Image
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Deliverable III
Shape-Up Feasibility Study
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III: Shape-Up Feasibility Study
N= 53, 100% Female
The line for Shape-Up Zumba class outsideof the East Harlem Asthma Center
Team Photo
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III: Shape-Up Feasibility Study
100% of the 45-54 group say they would be interested in leading a walking group
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III: Shape-Up Feasibility Study continued
Team Photo
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III: Shape-Up Feasibility Study continued
* Dance includes all forms noted: zumba, belly, salsa, merengue
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• Children present: 87%
• Limited time for activity: 33%
• Of those, 100% would bring children to Shape-Up programs
Google Image
III: Shape-Up Feasibility Study continued
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Deliverable IV
Nonprofit Assessment of Physical Activity Programming and Partnership
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IV: Nonprofit Assessment of Physical Activity Programming and Partnership
• 6 out of 7 selected organizations offer physical activity programming
• 71% of non-profits partner with other agencies in physical activity initiatives
• All 7 of the organizations are interested in partnering with DOHMH in its physical activity initiatives
• 4 out of 7 organizations cater programming to 35-54 year olds
• 4 out of 7 organizations provide walking groups and group fitness classes such as Zumba and Aerobics
Google Image
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The nonprofits who are interested in partnering with the NYC DOHMH’s physical activity initiatives are
willing to provide the following resources:
• 5 out of 7 organizations stated they would provide space (indoor and outdoor space)
• 3 out of 7 nonprofits could provide support staff
(trainers and instructors)
• 4 out of 7 organizations could offer funding assistance
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Deliverable V
Business Wellness Survey
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Type of Business
11%
45% 22%
22%
Fast Food Franchise Other Type of Franchise Independently-Owned Corporation Chain
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Health Insurance Offered to Full-Time Employees
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Business Wellness Survey continued
Business Wellness Incentives:
•4% offer wellness incentives
•89% reported that their employees would take advantage of wellness incentives, if they existed
Partnerships:
•52% would partner with the DOHMH
•15% have partnered with local gyms, restaurants, or other businesses
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Deliverable VI
Proposal
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Proposal
Pilot Program: East Harlem, phase into South Bronx/Brooklyn
•Women, 35-54 years of age
•Implemented by a community organization
•Best practices: CLIMB and Walk it Out!
–Incentives to facilitate turnout and community engagement
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Proposal continued
Marketing
•Culturally-specific social marketing
– Signage, advertising, incentives and culturally-relevant classes such as Zumba or African Dance
Business Wellness
•Implement employee incentives
•Partner with nonprofits
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Proposal continued
Proposal reflects
•Desires of DOHMH
•Needs of Community
Final Recommendation
•Framework that is self-sustaining
•Inclusion/Community partnership
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Team Successes and Challenges
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Successes
• Challenged individual comfort zones – Outreach and direct contact with community
– Community self-directed in discussing desires for programming
• Successes - Personal, academic and professional
• Personality Balance - Effective communication and negotiation with community stakeholders
• Open Communication
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Obstacles
Focus Groups
• Difficulty in organizing
• Lack of resources for incentives
• Qualitative data and anecdotal evidence lost
• Further community contact stifled
Language barrier
• Languages spoken by group vs. community – Creole
Scheduling conflicts
• Commitment issues with DOHMH
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Questions?
Thank you for your time!