Complete Health Improvement Program (CHIP) Risk Reduction/Claims Evaluation Project

In our Western culture, lifestyle changes focusing on diet, exercise and tobacco could
prevent about 40% of all cancer deaths, and 82% of cardiac deaths, in the U.S. It is
estimated that 71% of colon cancers, 70% of strokes, and 91% of diabetic cases could be
avoided by living a healthy lifestyle. These health problems add a tremendous burden to our
healthcare budget, and to the loss of productivity of our society. In 2007, it was estimated
that 2.3 trillion dollars was spent on healthcare in the U.S., $7,600 for each individual.
Expectations are that without dramatic change, this cost will continue to increase to
unsustainable levels.

The Complete Health Improvement Program (CHIP) is a community based lifestyle medicine
program with proven effectiveness in addressing these problems.

The project proposes to provide the Complete Health Improvement Program (CHIP) to adult
(non-pregnant) Ohio University employees (and/ or their adult family members) with with
diabetes / prediabetes, obesity / overweight, hypertension / prehypertension, atherosclerotic
cardiovascular disease, or dyslipidemia in an effort to improve self-management and the
consequences of biometric factors that can be modified by lifestyle changes. The CHIP program
is an educationally based, lifestyle intervention program that aims to reduce healthcare
cost, absenteeism, and increase employee productivity. The investigators expect that
participants following the programs guidelines will lower their body mass index, cholesterol,
reduce blood pressure and blood glucose levels, and therefore help to prevent chronic
disease.

Ohio University Human Resources (HR) will provide research participants with scholarships to
attend the CHIP program.

One aim of the project is to compare biometrics factors (weight, cholesterol, LDL, HDL,
triglycerides, blood pressure, and fasting blood glucose, HgA1c) of participants before and
after completion of the program (program completion defined as those who attended at least 14
of 16 CHIP classes, or 15 of the 18 new CHIP+ classes).

A second aim is to compare this groups health claims (health care utilization office visits,
emergency room visits, hospitalizations, medication costs) with a control groups data (OU
employees who have diabetes / prediabetes, obesity / overweight, hypertension /
prehypertension, atherosclerotic cardiovascular disease, or dyslipidemia and do not
participate in CHIP program).

A third aim is to compare the treatment groups absenteeism due to illness data with that of
the control group.

Inclusion Criteria:

- Adult, non-pregnant OU employees or adult families who are covered by Ohio University
insurance and are participating in the Athens Complete Health Improvement Program

Exclusion Criteria:

- Pregnancy

- Under the age of 18