Consultancy Proposal to NYC DOHMH


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Proposal to the NYC DOHMH on how best to implement free/low-cost physical activity programming to economically depressed neighborhoods.

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Consultancy Proposal to NYC DOHMH

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