# Presentation: 331848

## Worksite Wellness Health Promotion: 

**Worksite Wellness Health Promotion: **
**A Toolkit for Employers and Employees**
- Jennifer Jones
- October 26, 2006

## Danya International, Inc

**Danya International, Inc**

**Notes:**
Health communications research company
Silver Spring/Atlanta
1996 
Dr. Jeffrey Hoffman
Conceptualize, research, develop, & evaluate educational products & training tools
SBIRs
Ascent (facilitator & youth video, web site)
Living in Balance – research-based treatment curriculum for addiction counselors
Nutriboy – animated, video series, age 5-8,healthy snacks, exercise

## NCI Phase I Contract

- Using Social Marketing to Disseminate Evidence Based Energy Balance Intervention Approaches to Worksites
-     (Contract No: HSN2612005440009C)
- To develop a worksite toolkit to promote widespread adoption of research based energy balance promotion (i.e., obesity reduction) approaches in worksites.

**Notes:**
Goals of program:
reduce health and injury risks of employees
Improve health consumer skills
Enhance productivity & well-being

## Slide 4

**Notes:**
Lit review to increase our understanding and knowledge of worksite health promotion.
2. Develop and implement comprehensive worksite health promotion toolkit and social marketing materials.
3. Garner feedback from experts, employers, and employees for continued product development.

## Literature Review

- Relationship between lifestyle and disease
- Characteristics of successful workplace wellness programs
- Example of effective programs

**Literature Review**

**Notes:**
Traits of Successful Programs: 
top down support
screenings
follow-up & evaluations
integration into existing programs
Prevention messages and incentives

Employer benefits:
productivity
Reduction injuries and worker comp claims
absenteeism
healthcare costs
Recruitment and retention tool
Morale, strong organizational commitment

## Product Development – Needs Assessment

- Employee Focus Groups
- Employer Interviews

**Notes:**
Employee Focus Groups
2 companies, N = 17, 
Average company size 120
10 female, 7 male, mean age 33
Education: 12% HS/GED, 53% B.A., 35% M.S.,
Race/Ethnicity: 53% White, 18% Black                18% Hispanic,  6% Asian,  6% other
Purpose
Learn experiences w/ workplace health programs
Ascertain need for, interest 
Learn how to motivate
How to format, structure, 
Results
See it helping to motivate 
Should be brief and concise
leader not do a lot of work
short cuts to exercises, make & buy healthy lunches, and use intranet 

## Product Description

*The Employee’s Guide to Health*
*Your Company’s Guide to Health*
- Video vignette
- Social Marketing Materials:
- Paycheck stuffer
- Motivational poster
- Motivational banner
- Activity calendar

**Notes:**
For small-to-medium business (since 33% have 50-99 employees)
brief and concise activities (with checklists, tips, clear steps)
	-minimal time investment
	-limited costs
BINDER DESIGN w/ CD-Rom (small, portable)
Logo: 
the @ like email, 
paper clip work product, 
running man active

## The Employee’s Guide to Health

- Designed for employee group leaders wishing to take a proactive role in creating opportunities for their worksite
- Focuses on implementing support and self-help groups in physical fitness and nutrition

**Notes:**
For EMPLOYEE group leader (proactive)
How to implement support and group activities
Workplace Walk - Outline steps (what is it, materials needed, what to do in intro meeting, and follow-up activities to increase motivation)
Resources - DVDs, books, tutorials, websites (sports orgs), walking/running clubs, recipes,

## Your Company’s Guide to Health

- Serves as guideline for instituting health promotion programs within the worksite
- Focuses on ease of use, support, and options for creating, promoting, maintaining, and evaluating nutrition and physical fitness activities

**Notes:**
For employers 
HEALTH PROMOTION: How to market program (weekly ebulletin, create web site)
cost-benefits of activities
How-to guide for healthfair
tips for motivating employees
Health-risk appraisals
Policies - environmental design, strategies for partners (gyms)
Links to case studies that demo

## Video Vignette

- Developed draft
- 	script demonstrating the
-     implementation of brisk
-     walking activity
- Future ideas:
- Demonstration of group planning exercise programs (walking routes, etc.)
- Demonstration of group discussing healthy options within traditional cultural cuisines

**Notes:**
Facilitator on screen (breathing exercises, desk stretches)
About 6 videos, 
how to implement activities 
how to plan, how to communicate, budgeting, checklists

## Paycheck Stuffers

- Designed to be noticed by employees
- Physical activity is as easy as just taking steps
*	**“**I like the image because we all take stairs at one time during the day. I like this!” *
*	**– *Expert comment

**Notes:**
Activities everyone can do
Use as reminders
Unique idea

## Motivational Poster

- Designed for office stairwells, elevators, break rooms, and intranet
- Scheduling 30 minutes of activity into the day *is* possible
*	**“**Positive and doable...One does not have to dress, sweat, and chunk out the workout in one setting. That is in concert with the Surgeon’s General’s report on Physical Activity*.” – Expert comment

**Notes:**
Simple, positive messages
Understand message at moment’s glance

## Motivational Web Banner

- Designed for worksite intranet and other opportunities to use flash technology
- Promoting better health and wellbeing
*	**“**Great image to drink more. Calm and nice movement. Most people do not drink enough water and should drink more!”*
*	**– *Expert comment

- _[http://dev.danya.com/webi/index.htm](http://dev.danya.com/webi/index.htm)_

**Notes:**
Add to own intranet
Need easy-to-assemble communication campaigns for employers to assemble

## Activity Calendar

- Designed for office stairwells, worksite elevators, break rooms, and intranet
- Various suggestions, activities, and tips for employees

**Notes:**
Electronic so can be personalized
Can incorporate national observances

## Evaluation

- Expert Panel Review
- Feasibility Evaluation with Employers
- Feasibility Evaluation with Employees

**Notes:**
Get feedback for continued product development from experts and key stakeholders

## Expert Panel Feedback

**Strengths**
- Guides and materials were informative and appealing
**Areas for Improvement**
- Need to simplify definitions and overviews, and clarify audience
**Product Changes**
*Introduction* sections made more concise
- Guide titles to reflect audience
- Additional step by step instructions

**Notes:**
(6) HR, Health ed & behavior in university, corporate fitness, & business management
Robert A. Cohen, MHSA, president and CEO, Alliance Benefits and Compensation
Faryle K. Nothwehr, Ph.D., MPH, patient educator, Dept Health Behavior and Health Education, Univ. of Mich
Brenda Loube, M.S., president, Corporate Fitness Works (CFW), woman-owned health and fitness management &consulting company
Marcia Friedman, employer benefits professional w/ extensive experience in health-promotion initiatives at worksites
Glorian Sorensen, Ph.D., professor, Harvard School of PH; 
Donna Allen, Ph.D., chair and associate professor, Health Promotions Department, United Methodist College (Nebraska)

Asked to pay attention to sensitivity for culture, gender, ethnicity, and SES

Results:
“Positive and doable...” 
“Encourages employees to get involved in activities \
provided concrete and specific suggestions about activities and resources.

## Feasibility Evaluation – Employer Interviews

**Ease of use and clarity**
*“**Modules are very informative and easy to use. They gave me many ideas and choices to implement physical activity programs.”*
*“...**it is easy to find certain topics.”*
**Applicability and appropriateness**
- Suitable for a wide variety of business audiences

**Notes:**
N = 15 Employers interviews, in person and self-admin
Half male/female
73% White, 20% Black/African-American, 7% Asian; 
Education: 21% B.A., 57% M.A., 21% J.D. ; 
Age mean 38
Occupation – PH, marketing, healthcare, publishing, home improvement, law, insurance
Company size - less than 50 to 400 employees
asked: likelihood to use, relevancy, diversity, applicability, ease of use, comprehensiveness, appearance
Findings:
Most didn’t have program, 
89% favored design; 67% said had enough info and easy to use
93% said applicable to their work; 
variety of audiences
need to include testimonials; 
need to suggest ways to overcome barriers (if lack facilities for workouts, space for speakers)

##  Feasibility Evaluation -Employee Focus Groups

** ****Feasibility Evaluation -****Employee Focus Groups**

**Strengths of STEPS@Work**
- Marketing materials would be well received by employees and dissemination would be supported by companies
**Barriers of implementation**
- Corporate apathy and culture (especially shift workers)
**Areas for Improvement **
- Presenting information in different ways for various age groups and shift workers

**Notes:**
Purpose: make sure can follow and implement toolkit
Subcontractor 
Sample, n=10 employees
60% White, 20% black, 10% Asian,10% Hispanic; 
70% female, 30% male; 
Age: 42; 
Education: 40% HS/GED, 20% A.A., 20% B.A., 20% M.A.
Size: Less than 50 employees to over 100.
Industries: grocery, pharmaceutical, medical consulting, education, equipment manufacturing

Findings:
Need corporate buy-in with cost-benefit info (i.e. lower health care costs, decrease absenteeism)

## Appropriate for small to medium sized businesses

Employers and employees find the content attractive and applicable in workplace settings

Content helpful & easy to use for employees interested in health promotion

- Employers and employees find the content attractive and applicable in workplace settings
- Content helpful & easy to use for employees interested in health promotion

**Overall Research Findings**

**Notes:**
For diverse type of organizations, 
will ad tips for underserved pops, blue collar, shift workers
Has wide range of web resources

## Finalize and complete all toolkit sections and social marketing materials

Finalize production of CDROM

Conduct comprehensive process and outcome evaluations 

Commercialization plan	

- Finalize production of CDROM
- Conduct comprehensive process and outcome evaluations
- Commercialization plan

**Future Steps**

**Notes:**
Currently Exploring Funding Possibilities

Add a support Website to house and disseminate info
Customizable, direct access to links
Includes sample needs assessments
Spanish

## Thank you! 

Jennifer Jones, Research Associate
 jjones@danya.com

Henry Wong, Ph.D, Principal Investigator
Sharon Zack, MS, Project Director

- Jennifer Jones, Research Associate
-  _[jjones@danya.com](mailto:jjones@danya.com)_
- Henry Wong, Ph.D, Principal Investigator
- Sharon Zack, MS, Project Director