Disease Management, Lifestyle Campaign and Diet Intervention
Contractor: Florida State University -
College of Human Sciences, Department of Nutrition, Food, and Exercise Sciences
Agency Contract Number: M0321
Contract Period: October 11, 2002 through December 31, 2004
Brief Description of Goals of Contract:
In recent years, the Florida Medicaid program has implemented several disease
management programs to reduce the complications of certain diseases. Efforts
have concentrated on diseases which have known treatments that lead to reductions
in costs and or better outcomes for beneficiaries. The Department of Nutrition,
Food and Exercise Sciences at Florida State University are testing several approaches
that could result in improved outcomes for Medicaid beneficiaries. All three
are targeted toward reducing obesity through exercise or better nutrition.
A. Exercise Management for Overweight Middle-Aged
Women
A home-based exercise intervention for overweight middle-aged
Medicaid beneficiaries will demonstrate whether a walking program is cost effective
for this Medicaid population in reducing health risk factors for coronary heart
disease.
B. Lifestyle Campaign
The purpose of this project is to determine if beneficiaries
of a mail-delivered instructional intervention on the importance of physical
activity including how to increase daily physical activity will result in reduced
Medicaid expenditures for the targeted group.
C. Diet Intervention
A disease management approach called Cookbook will
be demonstrated on overweight African American Medicaid eligible women who are
served by a Community Health Center to determine if women who are offered the
opportunity to participate in the project lose weight, have lower medical costs
in the 18-month period from the start of the intervention than does a similar
group at another health center who will be given traditional advice regarding
the need to lose weight and exercise more.
Summary of Significant Amendments:
Current Status: Ongoing/Complete
___X__ Ongoing
_____ Complete
Deliverables:
|
Date Produced
|
Title
|
Brief Description
|
|
February 2003
|
Physical Activity
Questionnaire |
Statewide survey sent
to Medicaid beneficiaries ages 40-65 who are not enrolled in a disease managemnt
program.Beneficiaries responding have been randomly assigned to a control
group or intervention group. Follow-up survey will be completed with physical
health status results being compared. |
|
April 2003
|
"Living An Active
Lifestyle" |
A pamphlet (available
in Spanish and English) provided to Medicaid beneficiaries participating
in the lifestyle campaign intervention group. This booklet emphasizes the
importance of regular exercise and includes tips on how to get started,
the importance of remaining active, staying healthy, and tips on maintaining
or losing body weight. |
|
April 2003
|
"Modified Soul Food
Cookbook" |
The recipes were produced
and tested in FSU Nutrition Program Foods Labs by a group of neighborhood
women organized into a club called The Modified Soul Food Club. The cookbook
is used in conjunction with the Medicaid diet intervention program involving
middle school students and adults. |
|
January 2004
|
"Health-Related Characteristics
of Overweight and Obese Women on Medicaid(Baseline and Preliminary Data) |
Presentation of baseline
and preliminary information. The purpose of this section of the study is
to evaluate the health and physical activity levels with pedometers of overweight
and obese, lower socioeconomic women 40 to 65 years of age. |
|
January 2004
|
"Daily Physical Activity
in Lower Socioeconomic Status Middle-aged Adults" |
Presentation of baseline
and preliminary information. The purpose of this section of the study is
to determine the amount of physical activity in lower socioeconomic status
middle-aged adults. Physical activity surveys were mailed to a random sample
of 10,000 adult Medicaid recipients statewide. |
|
April 2004
|
Initial Diet Intervention
Report |
Baseline information
that discusses the characteristics of participants in the diet intervention
program. |
|
April 2004
|
Exercise Intervention
Status Report |
Six-month re-assessment
of exercise intervention in the overweight and obese participants. |
|
April 2004
|
2nd Lifestyle
Survey |
Re-survey sample of
Medicaid beneficiaries completing initial survey. |
|
July 2004
|
Exercise Intervention
Status Report |
Nine-month re-assessment
of exercise intervention in the overweight and obese participants |
|
July 2004
|
Preliminary Diet Intervention
Report |
Compares outcome data
for the participating center to the non-participating center |
|
October 2004
|
Draft Reports for
each of the Interventions |
An in-depth analysis
and discussion of findings for each of the design interventions used in
the study |
|
December 2004
|
Final Reports for
each of the Interventions |
Provides in-depth
analyses, findings, and specific recommendations for each of the design
interventions used in the study |
|
December 2004
|
Statewide Implementation
Plan |
Detailed plan for
statewide implementation of any interventions recommended including operational
manuals or guidelines. |
Agency Contact: Cliff Schmidt
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