Worksite health promotion class, 3 December 2009

1. Worksite

2. Programme (syllabus)
Intro & Review of the literature (15
min)
Case histories & Examples (5
min)
Presentation of groupwork (5 min)
Assisted groupwork in class (15
min)
Discussion (10-15 min)
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3. review

4. HAVE YOU EVER
WONDERED WHY
WORKPLACE
WELLNESS IS
IMPORTANT?
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5. Google Headquarters in
Zurich
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6. A world of workaholics
Globally, 60% of the world’s
population
is accessible directly or indirectly
through
the workplace, and 60% of our
waking hours are spent in the
workplace
(Batt, 2009; Blake & Lloyd,
2008) 29/05/20146Workplace Health Promotion

7. Social & economic costs
costs
Occupational illness: £30
billion (3% GDP)
Workplace absence: 175
million working days
Economic cost: £13.4
billion
UK financial case:
(PriceWaterhouseCoopers, 2008)
Roi (return on
investment)
-$4 healthcare costs
-$5 absenteeism costs /
every dollar invested in 3-
5 yrs
(Serxner, Anderson & Gold,
2004)
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8. Positive outcomes
 CSR (Batt, 2009; Blake & Lloyd, 2008; Pronk & Kottke,
2009)
 Productivity (reduced
absenteeism & presenteeism)
<= MORE DATA! CONTROVERSIAL DATA
(Marshall, 2004)
 Staff retention & recruitment
 Reduction of accidents and
injuries
 Weight management (Anderson29/05/20148Workplace Health Promotion

9. Prevention rather
than cure
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10. Types
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11. workplace wellness
activities
 Active/green commute
 Exercise breaks, PA, walking (Abraham &
Graham-Rowe, 2009)
 Diet / Healthy food (obesity: Anderson et
al. 2009)
 Relaxation / anti-stress
 HRA and advices
(Batt, 2009)
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12. Common workplace
wellness programs
strategies
 Health checks
 Educational programs (theory based)
 Motivational prompts (short-term effective)
 Wrkplace exercise programmes (i.e. Trainer
Max)
 Incentive-based
 Individualized counseling vs. self-directed
beh. change (Aittasalo et al., 2004)
(Marshall, 2004)
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13. A few examples
 KPT-CPT Trainer Max
http://www.allenatore-
personale.ch/
 Well@Work
 Fit for Work (Europe)
http://www.fitforworkeurope.
eu/
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14. Determinants

15. Key determinants (1)
 Recruitment strategy
(promotion)
 Two-step strategy (Plotnikoff et al., 2005)
 Comprehensive recruitment plan (Thompson et al. 2006)
 Involvement of HR & CEO & endorsement (Franklin, 2002;
Prinz et al. 2001; Thompson, 2006)
 Couselling (Aittasalo et al., 2004)
 Incentives (price)
 Buis et al., 2009; Marshall, 2004; Plotnikoff et al. 2005;
Serxner, Anderson & Gold, 2004; Spittaels et al., 2007;
 Flexibility (time mngmt &
delivery mode)
 Blake & Lloyd, 2008; Chinn et al., 2006; Thompson et al.,
2006; Prinz et al. 2006
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16. Key determinants (2)
 Built environment (Blake & Lloyd,
2008)
 Policy change (Marshall, 2004)
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17. Future directions
Studies that analyze the
relationship between
environment, community
attributes and PA behavior
(Marshall, 2004)
Shift in focus from individual to
strategic & organizational
(ecological) perspectives
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18. Recommendations to
wHPBASIC KEYWORDS (Pronk & Kottke, 2009)
 Human centered culture = influencing org. change
(Blake & Lloyd, 2008)
 Engagement / Involvement / Participation
 Tailoring to workplace characteristics
 Strategic planning & communication
 Accountability, measurement
 Integration of strategies: Mass + Tailoring
(Marshall, 2004)
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19. Principles for
increasing
participation
1. Set the right
participation goals for
the right people
(employees, champions
& supporters vs.
detractors)
2. Assess needs regularly
(HRA)
3. Create & nurture a
culture of health
4. Position the programme
5. Target comm.
6. Offer a menu of options
=> Nudge (Thaler &
Sunstein, 2009)
7. Incentives
8. Measure participation
(Serxner, Anderson & Gold,
2004)
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20. groupwork

21. Group activity intro
 Divide the class in 4-5
groups (3-5 people/group)
 Assign the cases to the
groups
 Assign tasks
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22. Groupwork activity (1)
CASE 1 -Your represent the Health Coordinators of a
mid-sized shoe-factory in Ticino, Switzerland and
you are in charge of creating an health workplace
programme for your employees and colleagues.
CASE 2 - Your are members of the HComm Alliance
for Healthy Workplaces and you've been asked to
develop a draft project for a health enhancing
programme for all the Credit Suisse banks in
Lugano.
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23. Groupwork activity (2)
CASE 3 - Your are a group of health communication consultants and
your are hired to develop a health promotion intervention for USI
employees (faculty and academic support staff).
CASE 4 - As independent health specialists, the Lombardia Region
(regional government based in Milan) has hired you to develop an
intervention for its employees. Remember that the Lombardia
Region has an office, involved in health communication
programmes (mainly information campaigns).
CASE 5 – Each of you work independently as wellness coordinator for
different clients. You are asked to develop a workplace health
promotion in a rural area, where a network of 5 small-to-medium
high-tech enterprises (SMEs) operate.
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24. Group activity task
 Think about the frame you want to give to
the intervention and the behavioral focus
(PA, smoking cessation, nutrition/diet, a
combination, etc.).
 According to the topics we covered
today, think about possible partners or
stakeholders to involve (you can chose
one of the frameworks we covered in the
previous lessons: RE-AIM, PRECEDE-
PROCEED, people & places, etc.)
 Focus on the recruitment strategy.
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25. Thankyou!
;)

26. Picture credits
Google Headquarters
Zurich
 http://adrozdov.com/en/business/f
ull/googleofficezurich.html
 http://gconnect.in/gc/technology/g
oogle-work-place-do-you-want-to-
be-there.html
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27. References (1)
Abraham, C., & Graham-Rowe, E. (2009). Are worksite interventions effective in increasing physical
activity? A systematic review and meta-analysis. Health Psychology Review, 3(1), 108.
Aittasalo, M., Miilunpalo, S., & Suni, J. (2004). The effectiveness of physical activity counseling in a
work-site setting: A randomized, controlled trial. Patient Education and Counseling, 55(2),
193-202.
Anderson, L. M., Quinn, T. A., Glanz, K., Ramirez, G., Kahwati, L. C., Johnson, D. B., et al. (2009).
The effectiveness of worksite nutrition and physical activity interventions for controlling
employee overweight and obesity A systematic review. American Journal of Preventive
Medicine, 37(4), 340-357.
Batt, M. E. (2009). Physical activity interventions in the workplace: The rationale and future
direction for workplace wellness. British Journal of Sports Medicine, 43(1), 47-48.
Black, C. (2008). Working for a healthier tomorro. dame carol black's review of the health of
britain's working age population. London, UK: Department of Work and Pensions, The
Stationery Office (TSO).
Blake, H., & Lloyd, S. (2008). Influencing organisational change in the NHS: Lessons learned from
workplace wellness initiatives in practice. Quality in Primary Care, 16(6), 449-455.
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28. References (1)
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29. References (1)
CDC, Centers for Disease Control and Prevention. (2007). Healthier worksite initiative - HWI |
DNPAO | CDC. Retrieved 12/2/2009, 2009, from
http://www.cdc.gov/nccdphp/dnpa/hwi/index.htm
Chinn, D. J., White, M., Howel, D., Harland, J. O. E., & Drinkwater, C. K. (2006). Factors associated
with non-participation in a physical activity promotion trial. Public Health, 120(4), 309-319.
Marshall, A. L. (2004). Challenges and opportunities for promoting physical activity in the
workplace. Journal of Science and Medicine in Sport, 7(1, Supplement 1), 60.
New York City Department of Health and Mental Hygiene. Worksite health promotion programs :
Wellness at work program : NYC DOHMH. Retrieved 12/2/2009, 2009, from
http://www.nyc.gov/html/doh/html/wellness/wellness-hlthpromo.shtml
Plotnikoff, R. C., McCargar, L. J., Wilson, P. M., & Loucaides, C. A. (2005). Efficacy of an E-mail
intervention for the promotion of physical activity and nutrition behavior in the workplace
context. American Journal of Health Promotion, 19(6), 422-429.
PriceWaterhouseCoopers. (2008). Building the case for wellness. London, UK:
PriceWaterhouseCoopers London.
Prinz, R. J., Smith, E. P., Dumas, J. E., Laughlin, J. E., White, D. W., & Barron, R. (2001).
Recruitment and retention of participants in prevention trials involving family-based
interventions. American Journal of Preventive Medicine, 20(1, Supplement 1), 31.
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