Explore the Blog Explore Blog

Now Viewing:

New Report: Shifts in the Supermarket Aisles as Demand for Low-Calorie Options Grows

Jun 16, 2015, 10:50 AM, Posted by Victoria Brown

Research shows that supermarkets are responding to the growing demand for lower-calorie options, and that healthier options are good for their bottom line.

Supermarket aisle of juice packs and juice boxes.

At a very basic level, obesity is about an imbalance. Calories in and calories out need to be balanced, and if they’re not, we run the risk of gaining unhealthy weight. Now, that sounds simple, but of course we know it’s not. There’s so much that goes into the choices people, particularly children, are able to make about what they eat and drink and how much they move. The neighborhoods we live in―and where we buy foods and beverages―play an enormous role.

U.S. customers spend over $638 billion in supermarkets every year, so these stores have a major impact on what we all eat and drink every day. A recent report shows that, in keeping with recent changes to consumer demand, supermarkets are increasing their sales of lower-calorie items, and seeing financial benefits because of it.

Between 2009 and 2013, lower-calorie foods and beverages drove the bulk of supermarket sales growth, 59 percent, compared with just 41 percent for higher-calorie items. They also made up 58 percent of total supermarket sales.

This is great news, as it shows supermarkets are responding to the growing demand for lower-calorie options, and that their business performance is benefitting as a result.

View full post

Making the Grade: An Assessment of the Healthy Weight Commitment

Jun 15, 2015, 10:00 AM, Posted by Ginny Ehrlich

Members of the food and beverage industry are taking steps to ensure that their investments towards the Healthy Weight Commitment are making a difference.

A mother and her daughter pushing full shopping carts outside a supermarket.

The food and beverage industries aren’t typically viewed as leaders in the movement to address the obesity crisis and alleviate food insecurity in the United States.

For that reason, the work of a consortium of 16 major food and beverage manufacturers and distributors is particularly interesting. The Healthy Weight Commitment Foundation (HWCF)—which includes such heavy-hitters as General Mills Inc, Kraft Foods Inc, and Nestle USA—is pioneering an innovative way to assess members’ philanthropic programs that target healthful eating and active living, to see just how much impact they’re having. The companies are trying to ensure that their investments--anything from support for local food banks to sponsorship of a 10k race promoting children growing up at a healthy weight-- really make a difference.

The ambitious effort involves a public-private partnership called Commitment to Healthy Communities (CHC) that teams the HWCF with the City University of New York School of Public Health. Using a specially designed framework, CUNY researchers will spend this summer evaluating which practices do and don’t work, on the program, company, and community levels.

View full post

Mapping a Path to Longer and Healthier Lives Across Atlanta

Jun 10, 2015, 2:52 PM, Posted by Dwayne Proctor

The Atlanta skyline on a sunny day. Image via City Clock Magazine

Two Atlanta neighborhoods, Buckhead and Bankhead, are separated by a mere five miles. Even their names are just two small letters apart. And yet the high-end shopping mecca dubbed Buckhead boasts an average life expectancy of 84 years, while in Bankhead—a neighborhood in transition that’s home to a newly burgeoning arts community—its residents face a life expectancy that’s a full 13 years shorter.  

This map of Atlanta—one of a series from the Center for Society and Health at Virginia Commonwealth University (VCU), funded by RWJF, shows that our zip codes might be a better predictor of health than our genetic codes. Why? Because where we live affects our health and wellbeing in complex ways. Among them, according to VCU, are a scarcity of jobs and quality schools, and fewer opportunities to access healthy affordable foods and safe places to be active.

This isn’t the first time Atlantans have bore witness to to inequity in their community, and today, community leaders are drawing inspiration from their past. Here in the city that served as the capitol of the Civil Rights Movement, community leaders are responding just as previous generations once did—by bringing together a diverse coalition to advance health equity and serve as a model for communities far beyond the Peachtree State.

View full post

Expanding Opportunities for Rural Communities to Get Quality Care

Jun 9, 2015, 4:58 PM, Posted by Susan Hassmiller

Initiatives like the Future of Nursing and Project ECHO are expanding opportunities for more communities to get quality health care and lead healthier lives regardless of ZIP code.

Buncombe Farm Land

I read recently in The New York Times about Murlene Osburn, a cattle rancher and psychiatric nurse, who will finally be able to start seeing patients now that Nebraska has passed legislation enabling advanced practice nurses to practice without a doctor’s oversight.

Osburn earned her graduate degree to become a psychiatric nurse after becoming convinced of the need in her rural community, but she found it impossible to practice. That’s because a state law requiring advanced practice nurses to have a doctor’s approval before they performed tasks—tasks they were certified to do. The closest psychiatrist was seven hours away by car (thus the need for a psychiatric nurse), and he wanted to charge her $500 a month. She got discouraged and set aside her dream of helping her community.

I lived in Nebraska for seven years, and I know firsthand that many rural communities lack adequate health services. As a public health nurse supervisor responsible for the entire state, I regularly traveled to small, isolated communities. Some of these communities did not have a physician or dentist, let alone a psychiatric nurse. People are forced to drive long distances to attain care, and they often delay necessary medical treatment as a result—putting them at risk of becoming even sicker, with more complex medical conditions.

View full post

Building Healthier Places In Birmingham and Beyond

Jun 1, 2015, 11:46 AM, Posted by Susan Dentzer

How a section of Birmingham, Alabama is redeveloping and offering greater opportunities for people at multiple income levels. The secret? Engaging the community throughout the process.

With its elegant homes, pleasant park and bustling stores, the Woodlawn section of Birmingham, Alabama was described in a 1950 news article as “a really great section of Birmingham...typical of the fine things in life." Then came the racial unrest of the 1960s, disruption from urban renewal gone awry and white flight to Birmingham’s suburbs. Joblessness and poverty took root; the housing stock decayed. Today, median income in Woodlawn is just $21,000, less than half the level for Birmingham as a whole.

But now Woodlawn is in the midst of a turnaround, aiming to become not just a neighborhood that prospers economically, but also one where people live healthier lives.

View full post

What’s the Airbnb for Health? Pioneering Ideas Podcast Episode 9

May 27, 2015, 4:47 PM, Posted by Lori Melichar

The rise of the sharing economy could surface new innovations in health and health care. The latest episode of the Pioneering Ideas Podcast explores this idea and more.

RWJF Pioneering Ideas Podcast Editorial Art

Could the ideas behind Airbnb — a service that lets people share their homes with strangers — transform health and health care?

Airbnb is just one example of a company that’s emerged as part of the sharing economy (also referred to as the “collaborative” or “peer” economy), an ecosystem of companies all over the world that are fueled by collaborative consumption:

Named by TIME as one of the “10 Ideas That Will Change the World”, collaborative consumption describes the shift in consumer values from ownership to access. Together, entire communities and cities around the world are using network technologies to do more with less by renting, lending, swapping, bartering, gifting and sharing products on a scale never before possible. From Airbnb to Zipcar to Taskrabbit, collaborative consumption is transforming business, consumerism and the way we live for a more fulfilling and sustainable quality of life.” – collaborativeconsumption.com

Rachel Botsman, an expert on the sharing economy whose TED talk on the subject has been viewed nearly a million times, recently visited the Foundation as part of our What’s Next Health series of conversations with pioneering thinkers. In an email to staff after her visit, she observed that, “to date, there has been a lack of dialogue and actionable insights on the potential to apply sharing/collaborative economy principles to different aspects of health.”

This is not to say that there aren’t examples of collaborative consumption addressing aspects of our lives that are related to health. Take the example Rachel shared with me of Landshare, a company in the United Kingdom that matches people who want to grow food with people who have the space for a garden. Imagine transforming vacant lots in some of the poorest areas of our country into places to grow fresh fruits and vegetables; the sustained effect on Americans’ health and wellbeing could be profound.

The founders of another company, Cohealo, observed that so much health care equipment sits idle for over half of its lifetime, accessible only to a finite group of professionals working in a single location. By encouraging sharing within and across facilities, Cohealo has the potential to decrease costs and waste.

Rachel joins us in the latest episode of our Pioneering Ideas podcast to explain the rise of the sharing economy and to brainstorm how new additions to the movement may help solve some of the thorniest challenges in health and health care. Could your company apply the sharing economy to the ongoing challenge of helping others lead healthier lives?  What are you willing to share to help build a culture of health in America?

Listen below or on iTunes – and, in the spirit of the episode, we hope you’ll share it, too, with anyone you know who’s passionate about building a Culture of Health.

More stories in this episode:

  • Reimagining Medical Education: Discover how emerging technologies and approaches are powering collaboration within and between medical schools;
  • Exploring Agile Science: Explore how “agile science” seeks to rapidly discover and test the most effective paths to healthy behavior change;
  • A Personal Essay on Personal Data: Learn why grantee Gary Wolf of Quantified Self believes access to our personal health data is essential to building a true Culture of Health.

After you listen, share your thoughts below, or join the conversation on Twitter at #RWJFPodcast. And if you have cutting-edge ideas to share about building a Culture of Health in this country, I hope you’ll reach out to me at @lorimelichar or consider submitting a proposal.

Be well.

One Cure for the World’s Toughest Challenges? Bold Leaders, Connected

May 19, 2015, 9:00 AM, Posted by Herminia Palacio

Change leadership means thinking big about impact, responding to urgent needs, and actively tolerating risk. This is the kind of big, bold way of working—together—that will get us to a Culture of Health.

Members of the Camden Coalition make home visit to patients around Camden, NJ.

Just over a year ago, I started in a new role at the Robert Wood Johnson Foundation. Not long after, my colleagues and I began the exciting, challenging, and collaborative process of co-designing four new programs that will develop, train, and network change leaders who will help build a Culture of Health.

You may be wondering – What is change leadership? How do we know it when we see it? And, why is it essential for achieving RWJF’s vision?

>>Could your organization serve as a National Leadership Program Center? View the call for proposals.

Here's the type of challenge our nation's leaders often face:

“For a half-century, charities, nonprofits and local and federal governments have poured billions of dollars into addressing the problems plaguing [many] Americans. But each issue tends to be treated separately – as if there is no connection between a safe environment and a child’s ability to learn, or high school dropout rates and crime.” –The Wall Street Journal, September 2013

Now here's an example of what change leadership looks like:

View full post

Clearing the Air in Louisville through Data and Design

May 13, 2015, 12:44 PM, Posted by Alonzo L. Plough

Louisville, Kentucky ranks among the poorest in air quality and highest in asthma rates among U.S. cities. A new art installation from Propeller Health shows residents real-time changes in the city's air quality, equipping them with the data to reach their goal of becoming one of the healthiest cities by 2020.

Airbare air quality installation in Louisville, Kentucky

I stand in front of an intriguing art installation on a busy street corner in downtown Louisville, KY, and visualize the invisible. It’s a bright orange steel kiosk outfitted with an interactive touch screen that allows passersby to “see” how air pollution levels change around the city in real time while also learning how these pollutants impact the severity of asthma symptoms. Called AirBare, the installation project was funded by RWJF and represents a unique collaboration between visual artists, big data analysts and local health advocates. By “popping” virtual bubbles on the screen, users find out what causes air pollution and what it will take to reverse it. This is relevant information for residents of Louisville, a city that consistently ranks among the lowest in air quality in the nation and has one of the highest rates of asthma and other respiratory conditions.

My visit to the AirBare installation coincided with a conference held in Louisville in March that brought together economists, health policy folks, food experts and, remarkably, Charles, the Prince of Wales, to examine the issue of air quality and the larger concept of sustainability in this Ohio River Valley city. The Prince, a longtime advocate for environmental issues with connections in Louisville, added star power to the Harmony & Health conference, sponsored by the non-profit Institute of Health Air Water & Soil. But there is plenty else to be excited about in Louisville. Under the leadership of Mayor Greg Fischer, city agencies have collected reams of data on air quality, health outcomes, life expectancy, income inequality, and unemployment, among many other measures. What has emerged is a far better picture of the tough environmental and socioeconomic issues impacting the health and wellbeing of Louisville’s 600,000 residents, and a serious and concerted commitment to build a culture of health.

View full post

Nurses and Physicians Need to Learn Together in Order to Work Together

May 11, 2015, 9:34 AM, Posted by Maja Djukic

Many practitioners understand the value of interprofessional education—the challenge is to make sure all our nation’s educators and providers do.

Nurse and physicians

Imagine your grandmother or someone you love falls and breaks her hip, arriving at the hospital in excruciating pain. She desperately needs pain medication and the nurse or medical resident on duty calls a senior clinician to request it. But the clinician says she’s busy and can’t see your loved one for at least an hour. How would you feel if the nurse or resident passively accepted this response? Alternatively, what if they challenged it?

Nurses and early career doctors regularly encounter thorny scenarios like these. Unfortunately, many hesitate to challenge senior colleagues, even when a fragile patient urgently needs help. Senior clinicians may even berate perceived subordinates for challenging their authority.

At New York University, we are part of a growing movement that aims to change these pernicious patterns. Marc Triola, MD, and I co-led a project to give nursing and medical students the training they need to work better together.

View full post

Retail Clinics Are Expanding Their Role Within the Health Care System

May 6, 2015, 3:38 PM, Posted by Tara Oakman

With convenient weekend and after-hours care, retail clinics have the potential to expand access to basic primary care and help address some non-clinical needs underlying the social determinants of health.

CVS Retail Clinic

My husband had been suffering from a very painful sore throat for a couple of days when he finally decided to call his doctor. Just one problem: It was a Friday morning and the office was booked for the day. The doctor called back later in the afternoon and told my husband it sounded like a virus and he should simply “wait it out.” With the weekend approaching, the next available appointment—if needed—was on Monday. Rather than suffer all weekend with a raw throat, my husband followed the advice of a relative (who also happens to be a physician) and went to a clinic at our local CVS. Less than an hour later he was diagnosed with strep throat and started on antibiotic therapy he picked up at the pharmacy. By Saturday evening he was feeling a lot better.

Access to quick, convenient care on nights and weekends is one of the prime selling points of “retail clinics” based in pharmacies, groceries, and big-box retailers. With longer operating hours and no need for an appointment, these clinics, sometimes called “doc-in-a-box,” give patients more flexibility to avoid time away from work and family. Plus, a trip to a retail clinic costs about one-third less than a visit to a doctor’s office, and is far cheaper than an emergency room. Retail clinics usually accept private insurance, Medicare, and, in many cases, Medicaid; yet people without insurance or a personal physician also are using them for treatment of routine illnesses, basic health screenings, and low-level acute problems like cuts, sprains, and rashes.

New shopping list: Pick up milk, breakfast cereal, and toilet paper; get a flu shot and that weird rash checked out.

View full post