prof chris rissel - nsw health - get healthy at work initiative

Get Healthy at Work Presentation

Get Healthy at Work good for workers, good for business

Professor Chris Rissel

NSW Office of Preventive Health

Overall goal

To contribute to the reduction of lifestyle-related chronic disease

risk in adults in the paid workforce

Particular focus on adults aged 35-55 years

Addresses modifiable risk factors including;

poor diet, physical inactivity, overweight /

obesity, smoking and alcohol misuse

Partnership between NSW Health and

WorkCover NSW

The NSW Government has

invested over $16m into workplace healthto June 2018

Launched June 30, 2014 at TNT Enfield

The Challenge

The workplace is in a complex, dynamic setting

Change workplace culture, not simply deliver

programs

Available evidence is limited

Health system requires broad reach

Heath system requires sufficient intensity to be

effective

Businesses require flexibility

Workers and worker organisations require

confidentiality

Introducing Get Healthy at Work

Get Healthy at Work gives your business all the tools, resources

and support you need to develop a simple, effective and

sustainable workplace health program.

Aims to improve the health of working adults through six health focus areas:

Healthy eating

Healthy weight

Physical activity

Active travel SmokingHarmful alcohol

consumption

Workplace Health Program

Brief

Health

Check

Service components

For organisations to provide best

practice health promotion activities

that support workers to reduce their

risk of lifestyle-related chronic disease

Confidential service for

individual workers to understand

their risk of developing type 2

diabetes and heart disease

What can you access?

Workplace Health Program All the tools, resources and support you need to

develop a workplace health program

Access to a workplace health provider to help you

identify needs, set goals and choose activities

Brief Health Checks A free, voluntary and confidential service for workers

Provides immediate feedback on an individual’s risk

of developing type 2 diabetes & heart disease

Offers referrals to lifestyle coaching programs and

other health services

Workplace Summary Report when more than 50

workers complete health checks at a single

worksite/office

Brief Health Check

• AUSDRISK (validated tool to assess risk of type

2 diabetes),

• Waist circumference (validated measure of CVD

risk),

• Fagerstrom Test Qs(validated assessment of

nicotine dependency)

• Brief intervention – focus on smoking, nutrition,

physical activity

• Referral to GHS, Quit line and GP

By visiting www.gethealthynsw.com.au or by calling 1300 806 258 (Monday – Friday 8-8pm), participants can join a free six months health coaching

program

Information includes: Health Coaching Program includes:

Telephone advice and support 10 free individually tailored , evidence based health coaching calls for a six month period, supported with a comprehensive coaching journal

Comprehensive information kit Your own university qualified health coach (such as Dietitians, Exercise Physiologists, Nurses and Psychologists) for the length of the program

Opportunity to join the coaching

program at any time

Telephone calls (around 10 minutes) from a coach at a time suitable for the caller

Referral to other services if required Free translator services

A cook book on graduation

A quality service - relevant health assessments and clearances, training, monitoring and evaluation

What does the Get Healthy Service offer?

February 2009 – June 2012

Weight (kgs) An average of 3.8 kgs reduction in weight (i.e. 85.2kg–81.5kg)

Waist Circumference (w.c.) An average of 4.9 cm reduction in w.c. (i.e. 100.2cm–95.8cm)

Vegetable Consumption(serves/day)

Average increase from 2.8 serves/day to 3.8

serves/day

Fruit Consumption (serves/day) Average increase from 1.7 serves/day to 2

serves/day

Results – Changes in self reported risk factors

Delivery options

Do it yourself exclusively using the

online training, tools and resources

OR

Access an accredited workplace

health service provider to assist

with all, or part of, your first

Get Healthy at Work program

Access up to 500 face-to-face health checks – for free!

Program resources, tools

and online training

Tools, resources and templates for

each program cycle step:

– Fact sheets

– Workplace review tools

– Surveys

– Planning and monitoring templates

– Presentation and email templates

– Online training tutorials

Some translated publications:

Arabic, Chinese and Vietnamese

All business sizes, all industries

Suitable for all businesses, regardless of size or industry.

Specific resources developed for:

Medium and large businesses

Small businesses

Agriculture, forestry and fishing industry

Construction industry

Manufacturing industry

Transport and storage industry

Delivery options

Businesses can access Get Healthy at Work either:

– Online by taking a ‘Do-It-Yourself’ (D-I-Y) approach or

– By requesting support from a service provider

Plenty of benefits to each delivery option

D-I-Y

Workplace Health Program

D-I-Y

Brief Health Checks

SERVICE PROVIDER

Workplace Health program

SERVICE PROVIDER

Brief Health Checks

Delivery options

How can you participate?

Register and find out more information by visiting:

gethealthyatwork.com.au

Business Registrations – Cumulative Total

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 3 5 7 9 11 13 15 17 19 21 23 25 27 29

2014 2015

Trend

Business Registered Worksites Engaged

1085

1409

171,221

Registrations by Business Size

0%

5%

10%

15%

20%

25%

30%

35%

0

50

100

150

200

250

300

350

400

450

500

Small Not Stated Medium Large

% W

orks

ites E

ngagedB

usin

ess R

egis

tere

dEmployer Size *

Business Registered % Worksites Engaged

What about small businesses?

Get Healthy at Work is still relevant to small business…

and there are plenty of opportunities

A lighter approach

Get initial buy-in by discussing the idea at a team meeting

Have workers complete health checks

Agree on a health focus area and set a goal

Develop a simple action plan

Place as a regular team meeting agenda item to track progress

0%

5%

10%

15%

20%

25%

30%

35%

40%

0

20

40

60

80

100

120

140

160 % W

orks

ites E

ngagedBusin

ess R

egis

tere

dIndustry Division

Business Registered % Worksites Engaged

Business Registration by Industry Division

Workplace Health Program by Stage

55%

11%

25%

9%

WHP By Stage

Created

Initiation

Analysis

Plan

Monitor

0

500

1,000

1,500

2,000

2,500

0

20

40

60

80

100

120

Online Anonymous Service Provider

Health

Checks

Busin

ess w

ith H

ealth

Check

BHC by Channel

Business w ith Health Check Health Checks

Brief Health Check by Delivery Mode

6000 HCs

Diabetes Risk

0%

10%

20%

30%

40%

50%

60%

Low Risk Medium Risk High Risk

Perc

enta

ge o

f H

ealth C

hecks

Diabetes Risk

NB. These graphs present diabetes risk for all Aboriginal participants and non-Aboriginal participants aged 35 years and over only.

Service uptake

• Referrals to Get Healthy Service and

Quitline

• 15% of total / 30% of eligible for referral

Evaluation: Cohort Study

• Unit of analysis: worksite

• consecutive cohort of 200 GHaW worksites (SP

and D-I-Y)

• matched control worksites (size & industry)

• Surveys of worksite key contact at baseline, 6

and 12 month (online)

Evaluation:

• Worker survey: retrospective 6 month

survey

• To determine awareness and

participation;

• To assess changes in health behaviours

and improvement in lifestyle factors

Case studies

• Worksite productivity data: obtain 24 months of

data (12 months before and after GHaW)

• Data: sick leave, leave without pay, workplace

injuries / claims, staff turn over and new

starters

Case studies: qualitative

• Key Stakeholder Interviews:

• Experience of GHaW (incl. how well program

worked, areas for improvement), &

• Impact on workers/workplace by delivery type

(online only v Service provider supported)

• Worksite key stakeholders

• Workers

• Service Providers

Part1: Business Registration Data

WorkCover has provided data for 109 unique businesses

Three excluded (2 government agencies and 1

“anonymous” for contact name)

Registration dates cover 30 June to 12 May

Number of workers: average 94, range 2-1200

Business size: 17 small, 80 medium, 9 large

Number of worksites: average 2.5, range 1-20

Delivery methods chosen :

Option 1 = 20 (DIY WHP + online BHC) [Fully online]

Option 2 = 3 (DIY WHP + F2F BHC) [Blended delivery]

Option 3 = 62 (F2F WHP + DIY BHC) [Blended delivery]

Option 4 = 21 (F2F WHP + F2F BHC) [Fully F2F]

How is the evaluation proceeding?

Of 107 businesses (70% response rate)

19 yet to be reached, 14 not contactable (3) / declined

(11)

23 agreed but have not completed baseline

50 completed baseline (incl. 3 partial response)

Majority of businesses 36/50 indicated they do not have a current workplace health program

Workplace Culture (47/50)

My workplace is open to change 60%

People at my workplace are willing to participate

60%

Most people would participate during the day

40% - no; 30% - don’t know; 30% - yes

People at my workplace are generally healthy

Mixed

Sick days are rare Mixed

Improve worker health 90%

Improve worker productivity 85%

Increase staff retention 70%25% don’t know / no opinion

Reduce incidence of workplace injuries

80%

Reduce sick leave 85%

Benefits of WHP (47/50)

Health Promotion at my workplace... Agree / Strongly agree

Is proactive about making changes when problems are identified

70%

Willing to dedicate staff time to WHP 65%

Willing to dedicate financial resources when need for change is identified

65%

Willing to dedicate financial resources to WHP 45% [25% disagree 30% don’t know]

Senior Management

Senior leadership at my business ... Agree/ Strongly agree

Get Healthy at Work Presentation

https://Gethealthyatwork.com.au

Prof Chris RisselDirector, NSW Office of Preventive Health Chris.Rissel@sswahs.nsw.gov.au