Creating Supportive and HealthPromoting Work Environments

1
Creating Supportive and Health-PromotingWork
Environments
Steven Aldana, Ph.D. CEO WellSteps
2
The Bottom Line
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
3
Changes in Whole Grains Servings Across Time
whole grain servings/day
6 weeks
6 months
12 months
18 months
baseline
Aldana et al, 2006
4
Changes in Exercise Across Time
Total steps/wk
6 weeks
6 months
12 months
18 months
baseline
Aldana et al, 2006
5
Trends in Physical Activity
http//www.cdc.gov/mmwr/preview/mmwrhtml/mm5009a3.
htm
6
Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
7
Percent of adults who are overweight or obese
81
8
Why do some behavior stick and others do not?
9

• What did you eat for dinner last night?

10
Common Reasons Why We Fail to Change Behaviors

• I gave up during an especially stressful or busy
  time.
• My family and friends did not provide much
  support.
• I lost confidence in my ability to keep it up.
• I didnt see any of the benefits I thought would
  come with the new behavior.
• I failed to reach my goal.
• I lost my motivation.

11
Continued

• My environment did not support my new behavior.
• My community did not support me in maintaining my
  new behavior.
• I was doing well, but the temptation was too
  great and I went back to my old ways.
• It was a lot of hard work, and it just wasnt
  worth it.
• Other_____________________________

12
Things That Keep Me from Being Active

• ___I dont like to get sweaty.
• ___I dont have time.
• ___I dont have any equipment or money.
• ___The weather is bad.
• ___I have an unsafe neighborhood.
• ___There are no parks, sidewalks, or bicycle
  paths near my home.
• ___Its hard to get into the mood.
• ___Im lazy.
• ___Exercise is painful.

13
Environmental Things That Keep Me from Being
Active

• _X_I dont like to get sweaty.
• _X_I dont have time.
• ___I dont have any equipment or money.
• _X_The weather is bad.
• _X_I have an unsafe neighborhood.
• _X_There are no parks, sidewalks, or bicycle
  paths near my home.
• ___Its hard to get into the mood.
• ___Im lazy.
• ___Exercise is painful.

14
Percentage of All Trips Made by Automobile, 1977
- 1995
Source National Personal Transportation Survey,
1995
15
Percentage of All Trips Made From Home by
Walking, 1977 - 1995
1
0
16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
The average person spends 78 minutes driving/day.
20
(No Transcript)
21
Prevalence of Obesity by Hours of TV per Day
22
Modal Travel in Urban Areas Europe and North
America Percent of Trips by Mode
Transportation Quarterly 1997 51-31
23
Total Food Spending Is Increasing
Billion dollars
Away from home
At home
24
(No Transcript)
25
Personal responsibility is a very important part
of this because we cant look at someone else to
solve our problems.
26
we have to continue to work hard to spread the
gospel of personal responsibility.
27
Its about personal responsibility
28
(No Transcript)
29
(No Transcript)
30
(No Transcript)
31
Culture of Health

• Awareness/education
• Motivation
• Tools, strategies
• Policy and environment

32
Individual
33
(No Transcript)
34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
16 oz
32 oz
44 oz
52 oz
64 oz
38
(No Transcript)
39
(No Transcript)
40
Individual
Family
41
(No Transcript)
42
(No Transcript)
43
(No Transcript)
44
Individual
Family
Worksite
45
(No Transcript)
46
(No Transcript)
47
(No Transcript)
48
(No Transcript)
49
Individual
Family
Worksite
Community
50
(No Transcript)
51
Somewhere in Florida
52
(No Transcript)
53
(No Transcript)
54
Individual
Family
Worksite
Community
Policy
55
(No Transcript)
56
One of the Best Solutions

• Perhaps the single most effective solution is to
  have health promoting policies and environments

57
Tobacco Efforts
Percent who smoke
58
(No Transcript)
59
(No Transcript)
60
The solution

• Mirror Worksite Safety
• Leadership Support is Key

61
www.chli.com
62
(No Transcript)
63
Worksite Policy and Environment to Encourage
Physical Activity

• Increase stair usage
• Encourage active commuting
• Walking and cycling safety
• Lockers and showers
• Fitness discounts
• Fitness breaks during the day
• Physical activity built into the job

64

• Sports teams
• Walking trails
• Google earth
• Sponsor fun runs or walking events
• Exercise messages

65
Worksite Policy and Environment to Encourage
Healthy Eating

• Healthy food alternatives
• Healthy food preparation
• Healthy vending options
• Microwave
• Refrigerator
• Healthy eating messages
• Healthy food at company events
• Organize a farmers market

66
Worksite Policy and Environment to Encourage
Tobacco Avoidance

• Dont hire smokers
• Smoking restrictions

67
More ideas

• Use of company time for healthy activities
• Medical coverage for preventive services
• Benefits redesign

68

69