Linda Stemnock, BSPH
Michael Wade, MPH, MS
Syndromic Surveillance Epidemiologist
Jamie Delaney, INShape Indiana
Director of Programming and Development
INShape Indiana (INShape), Governor Daniels’ Web-based health initiative, was created in 2005 to help Hoosiers make healthy choices by linking them to valuable resources and offering fun challenges to improve overall health and well-being. To date, more than 76,000 participants have enrolled in the program. It is hoped that INShape will continue to increase awareness and promote wellness throughout Indiana.
In 2007, INShape sponsored a question in the Indiana Behavioral Risk Factor Surveillance System (BRFSS) survey to assess awareness of the INShape program: “Are you aware of the state’s effort to improve Hoosier health through INShape Indiana?” Knowledge gained from this question could be very useful in developing future strategies to promote INShape.
The BRFSS is an annual random digit-dial telephone survey of adults aged 18 years and older to obtain information on health behaviors and risk factors. The survey is conducted through a cooperative agreement with the Centers for Disease Control and Prevention (CDC). All 50 states and the District of Columbia participate. Indiana has participated since the inception of the survey in 1984.
Overall, almost half of the adults (48.8%) surveyed reported that they were already aware of INShape Indiana. Awareness differed by age group, with adults aged 45-54 being more likely to report awareness (55.3%) than adults aged 18-24 (42.7%), and those aged 65 and older (43.4%) were less likely to know about INShape than adults aged 25-54 (range of 51.8% to 55.3%).
There was no significant difference by race, as 52.9 percent of Other/Multiracial respondents, 51.0 percent of white, non-Hispanic, and 46.0 percent of black, non-Hispanic respondents reported awareness of INShape Indiana.
Survey respondents with household incomes of $75,000 or greater (56.6%) and those with household incomes of $25,000-$49,999 (51.7%) were more likely to report awareness than respondents with household incomes of $15,000-$24,999 (43.0%).
Awareness also differed by educational level, with respondents who were college graduates being the most likely to be aware of INShape (57.9%). Respondents with less than a high school education were less likely to report awareness (39.2.9%) than those with some college or technical school (50.0%) or college graduates.
Respondents reporting awareness were statistically significantly more likely to report some beneficial behaviors than those without awareness (See Figure 1). Respondents reporting awareness were also statistically less likely to report being dissatisfied with their lives. There were no statistically significant differences between respondents who were aware of INShape and those who were not in terms of current smoking, body mass index, moderate or vigorous physical activity, or fruit and vegetable consumption. However, the question specifically addressed awareness of the program, not if respondents had actually modified their behavior as a result of INShape.