brain&health&results&at&companyabc& · 0 1000 2000 3000 4000 5000 6000 7000...

Brain Health Results at CompanyABC Annual Report 2012 Prepared by Tom Clements, Account Manager Savannah DeVarney, VP Product Helen Liu, BiostaDsDcian

Executive Summary This report summarizes the outcomes of CompanyABC Associates using MyBrainSoluDons in 2012. As of December 31st 2012, 8,544 CompanyABC employees were registered for MyBrainSoluDons (27% penetraDon rate). CompanyABC employees reported high levels of saDsfacDon -‐ 94% found it either ‘good’, ‘very good’ or ‘excellent’. 74% reported they would recommend the program to others. CompanyABC employees benefited posiDvely from using MyBrainSoluDons, as measured through a combinaDon of self-‐report quesDonnaires and via compleDon of the Brain Health Assessment both before and aUer training. Highlights of posiDve outcomes include: ü  ReducDons in feelings of stress, anxiety and depressed mood (12-‐15% for those ‘at risk’) ü  Improvements in emoDonal resilience (15% for those ‘at risk’) ü  SubstanDal improvements in all areas brain health areas (cogniDon, social skills, posiDvity, etc.) for those ‘at risk’ ü  Self reported improvements in posiDve feelings and real world effecDveness ü  Improved producDvity (29%) and reduced absenteeism (18%) in unproducDve employees ü  Impact to moDvaDon to make further changes to improve health, with 87% of employees indicaDng they will take

further steps to improve health.

Outcomes: UClizaCon

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Registered Users (total)

Registered employees : Total = 8,544

As of December 31st 2012, there were 8,544 registered CompanyABC employees (23% overall uptake rate).

2011: 5,481 new employees (20%) 2012: 2,614 new employees (7%)

69% male and had an average age of 41 (range 14 – 67).

Data collected between December 2010 and December 31st 2012 from CompanyABC Associates (n= 8,544)

Total Reg

istered U

sers Utilization Patterns

Registration 1,975 completed a survey after engaging with MyBrainSolutions for at least 5 days that asked how they heard of MyBrainSolutions and what motivated them to register.

How they heard it?

What did they want from using MBS?

41%

12%

5%

4%

2%

1%

employer website

human resources

co-worker

other

poster/flyer

newsletter

48%

26%

12%

6%

5%

4%

Healthcare Incentive

Just for fun

Overall self-improvement

Solution for Stress Reduction

Solution for Memory and Focus

Self-Knowledge

Motivations for Registration

What motivated them to register?

Unique approach to train [the] brain

I thought it would be a fun exercise and helps to improve and develop my brain

I believe cogni=ve and emo=onal health is just as important as physical well being. I've used other free services on line for similar training, but am really glad to see that my employer has provided access to this type of training

Data collected between December 2010 and December 31st 2012, n= 1,975 ( CompanyABC Associates who answered an optional Satisfaction survey)

Curious about how it could help me deal with stress.

I like mental games and am very curious about the whole area of mental plas=city.

It’s a good stress reliever and promotes posi=ve thinking and develops mental ap=tude

I like to improve my brain func=on and challenge myself.

I love brain games, it is a nice way to stay ac=ve.

Sharpen my mind while earning points toward health incen=ves.

Become more produc=ve, beGer employee, family and friend

1,975 completed a survey after engaging with MyBrainSolutions for at least 5 days that asked how they heard of MyBrainSolutions and what motivated them to register.

Self improvement and health incen=ve from employer

Extent of Engagement Brain Points

Data collected between December 2010 and December 31st 2012 from CompanyABC Associates, (n= 8,,544)

10%

51%

19%

7%

11% 2%

EmoDon Points

Thinking Points

Feeling Points

Self RegulaDon Points

Insight Points

Goal Points

42%

11% 14%

6%

17%

2% 7%

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50%

1-‐500 Pts 501-‐1,000 Pts 1,001 -‐ 2,500 Pts

2,501 -‐ 5,000 Pts

5,001 -‐ 7,500 Pts

5,001 -‐ 10,000 Pts

10,001+ Pts

Registered

Users (%

)

Brain Points earned

Brain points are awarded when Brain Exercises are played. Approximately 1 brain points is awarded for every 1 second of acDvity (see appendix for more details of how many brain points are awarded in each category). The below figures illustrate the percentage of CompanyABC users who reached various brain point milestones and the different categories of brain training that were uDlized to receive points.

Brain soluDons are game-‐like training programs in EmoDon, Thinking, Feeling & Self RegulaDon. The below graphs reflect how the registered CompanyABC Associates are uDlizing the Brain Exercises. Of the 8,544 registered Associates, 4,847 ( 57%) played at least one Brain Exercise. The graph illustrates the proporDon of acDve users (n = 4,847) who have played Brain Exercises within a given interval of Dmes played.

Utilization of Brain Solutions

Utilization of Brain Solutions per Person

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11% 12%

7%

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6%

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21%

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1 - 5 6 - 10 11 -20 21 - 30 31 - 40 41 - 50 51 - 75 76 - 100 100+

Use

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Number of Uses

Utilization of Brain Solutions

6030

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5616

20463

9814

41573

17063

78384

64962

12553 13101 12542

45325

545 252

10613

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4467 2632

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EmoCon Thinking Feeling Self RegulaCon

Outcomes: Benefits from Program

CompanyABC Brain Health Scores Compared to Book of Business To illustrate how CompanyABC’s brain health scores compared to another tech company of similar size, we looked at the 5345 CompanyABC associates who completed a baseline brain health assessment, and compared them to baseline brain health scores of 1151 employees within a tech company of a comparable size . (* = Significant at alpha = 0.05; ** = Significant at alpha = 0.01; *** = Significant at alpha = .0001)

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Emotion Identification

Emotion Recognition

Reaction Bias

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Emotion

Average Cisco Employee Average Cerner Employee

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DASS Stress

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Feeling


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Positivity Bias Emotional Resilience

Social Skills

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Self Regulation


Average employee in book of business

Average CompanyABC Employee







Improvements in Brain Health

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Emotion Recognition

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After MBS

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After MBS

The number of Associates who completed a baseline & follow up brain health assessment was 506. The average length of Dme between assessments was 374 days. The below illustrates average improvement between baseline and follow up (* = Significant at alpha = 0.05; ** = Significant at alpha = 0.01; *** = Significant at alpha = .0001)

Anxiety Depression Stress

Improvements were greatest in individuals who had lower baseline brain health scores. The analysis focused on results where baseline scores where < 1 SD below the mean. Significant improvements were made within that group across all areas of brain health (* = Significant at alpha = 0.05; ** = Significant at alpha = 0.01; *** = Significant at alpha = .0001)

Improvements in Brain Health for ‘at-‐risk’ associates

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Emotion Recognition

Reaction Bias

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Baseline

After MBS

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Baseline

After MBS

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Baseline

After MBS

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Positivity Bias Emotional Resilience

Social Skills

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Baseline

After MBS

Productivity Improvements The graph below illustrates changes in measures of producDvity of Associates. Data for these calculaDon are taken from the World Health OrganizaDon Health and ProducDvity QuesDonnaire which is embedded within the brain health assessment on MyBrainSoluDons.

Total ProducDvity is a measure incorporaDng both self-‐reported work-‐performance compared to that of the average worker and relaDve absenteeism. For example, 100% Total ProducDvity would represent someone whose job performance matches the average worker’s and who works exactly the hours expected of them. RelaDve Absenteeism describes how many hours actually worked compared to what is expected. NegaDve values indicate that a person has worked more than expected.

Population used Productivity Absenteeism

Magnitude of change 0.70 % -‐1.36 %

N 457 457

Sig. (2-‐tailed) p < 0.538 p < 0.037 *

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Before MBS After MBS

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Productivity changes in less productive employees

Population used Productivity Absenteeism

Magnitude of change 29.1% -‐17.9%

N 173 155

Sig. (2-‐tailed) p < 0.01 *** p < 0.01 ***

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Baseline Follow Up

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The graph below illustrates changes in measures of producDvity of Associates whose baseline scores were less than 100% producDve (173 employees) and more than 1 day absent (155 employees). Data for these calculaDon are taken from the World Health OrganizaDon Health and ProducDvity QuesDonnaire which is embedded within the brain health assessment on MyBrainSoluDons.

Total ProducDvity is a measure incorporaDng both self-‐reported work-‐performance compared to that of the average worker and relaDve absenteeism. For example, 100% Total ProducDvity would represent someone whose job performance matches the average worker’s and who works exactly the hours expected of them. RelaDve Absenteeism describes how many hours actually worked compared to what is expected. NegaDve values indicate that a person has worked more than expected.

Changes in General Functioning ‘EffecDveness Surveys’ ask Associates to rate how effecDvely they are funcDoning in their day-‐to-‐day rouDnes. These surveys are part of each brain health assessment. Associates rate their effecDveness on a scale of 1-‐10 with 10 being ‘the best they could be’ and 1 being ‘the worst they could be’. The results are listed below, with tests of significance run for the difference between the baseline and follow up scores. (* = Significant at alpha = 0.05; ** = Significant at alpha = 0.01; *** = Significant at alpha = .0001)

0 1 2 3 4 5 6 7 8 9 10

Managing my stress effectively

Having awareness of my positive feelings

Managing my day to day life concerns

Using a positive approach in my day to day life

Making progress towards my goals

Focusing on my work or personal tasks

Remembering things easily

Communicating effectively with others around me

Interacting effectively with others around me

Effectiveness Survey

Baseline Follow up

excellent 23%

very good 45%

good 25%

fair 5%

poor 1%

SaCsfacCon An opDonal user saDsfacDon survey is presented to the user on the login aUer the user has engaged with at least 5 training soluDons. 1834 Associates rated how saDsfied they were with the MyBrainSoluDons experience by raDng whether they found the experience ‘excellent’, ‘very good’, ‘good’, ‘fair’ or ‘poor’. The results are presented in the chart below.

Data collected from December 2010 and December 31st 2012 from CompanyABC Associates .

74 % would recommend others to use MyBrainSoluCons

(where 23 % were undecided)

A follow-‐up, opDonal survey presented 30 days aUer compleDng the first brain assessment is then presented to the user with a quesDon asking if they would recommend MyBrainSoluDons to others. 1200 Associates completed this survey. The result is presented below.

94% of users reported they found it either ‘good’, ‘very good’ or ‘excellent’.

What they said ….

Very helpful and makes me think more posi=vely.

It gives me an opportunity to focus and train for posi=vity

I think it is good. Nice way to break into something comfortable and a liGle distrac=ng before diving back into work with a clearer head.

The gentle reminders to re-‐engage have been helpful in a busy life.

The assessment was very enlightening, it helped me understand my personality and how it affects my stress. I enjoyed the games that involved concentra=on as I tend to get distracted easily.

The pre-‐selected games are great. I get to choose which area I think I need help in. It gives genuine informa=on from

my results and also helps me to improve in many areas.

It helps to improve your posi=ve thoughts and keep your brain focused on beGer things

It was nice to learn about how my brain works, and they are a fun way to relieve stress

Insight into what I am focused on and how to improve the items I need help with

It has been very helpful. It has forced me to take a break from work and focus on something else.

Helpful and entertaining, the site is easy to navigate.

I REALLY THINK IT SO AWESOME and easy to navigate and use.

Comments

Additional Outcomes after using MyBrainSolutions

1,355 employees completed the survey that relates to the results below. This survey is presented to users 30 days aUer compleDng a first brain assessment.

87% Are planning on taking additional steps to improve their health (and 11% were undecided)

57% Will take steps on their own 43% Will take steps through other bene!ts offered by employer

45% Have an increased satisfaction with CompanyABC as a result of MyBrainSolutions being offered to them (and 39% were undecided)

26% Would not have accessed other resources to address their health and wellbeing if MyBrainSolutions had not been made available to them (and 27 % were undecided)

After using MyBrainSolutions,

Data collected between December 2010 and December 31st 2012 from CompanyABC Associates who completed the relevant section of the 30-day follow up Effectiveness Survey (n=1,355 of registered users).

RecommendaCons

Conclusions •  Highly stressed employees who need the program the most are using the program and benefiDng from it. •  Benefits gained are in criDcally important brain health areas that support producDvity within the CompanyABC

environment: cogniDve skills, emoDonal resilience, stress management and posiDvity. •  Reasonable assumpDon that spouses and dependents would also benefit. The contagious effects of stress within

a family unit1 also suggests there could be synergisDc benefits from parDcipaDon within a family unit. •  Employees are finding it fun & enjoyable and it appears that high funcDoning employees are using it to

proacDvely maintain emoDonal and cogniDve health. •  The effects of stress carry over to medical costs:

•  Numerous studies have linked stress to back pain, head aches, heart problems, cancers, infecDous diseases and diabetes.

•  Highly stressed employees have 46% greater medical costs2.

•  We know a healthy brain promotes making healthy behaviors (for ex. sleeping well). Brain Health Des in nicely with other iniDaDves to promote healthy behaviors.

•  Nature of MyBrainSoluDons as a high-‐reach online soluDon enables straighoorward and quick roll out to an extended audience.

1. The Contagion of Stress Across MulDple Roles. Journal of Marriage and Family. 1989. 2. Stress in America. American Psychological AssociaDon. 2011.

2013 InnovaCons

2013 Product Pipeline

•  Leaderboard to enable peer-‐to-‐peer compeDDon

•  New games •  Comprehensive app for training on iOS and

Android by end of Q2 2013 •  New goal tracking tools:

•  Provide a plan based on desired outcome

•  Will suggest brain training + daily habits •  Progress tracked and feedback given

•  Updated Brain Health Report •  AddiDonal scores •  Longitudinal tracking

•  AddiDonal social tools for employees to share progress and compete with friends & family.

Brain Health Webinars

Webinar hosts and topics

•  Crea=ng new habits through Neuroplas=city •  How to bend without breaking: developing resilience •  Exercise, nutri=on & sleep for a healthy brain •  Get out of that rut! Managing stressors •  The Muscle of Self Control: Managing impulses •  Have a posi=ve feeling about that? The science of posi=vity •  Understanding Rela=onships •  Remember that? Building Memory •  You are what you focus on: Managing AGen=on •  Gegng and staying in your zone Speaker selecDon: •  Our founder, Dr. Evian Gordon regularly presents personally •  Others sourced from a network of 350+ scienDsts and academics •  Familiarity with Brain Resource products and methodologies •  AddiDonal thought leaders and key opinion leaders

Appendix

Brain Points Brain Points are awarded for activities completed on MyBrainSolutions. They are also a guide for your regular training. We recommend that you try to achieve 500 brain points each training session 2-3 times/week.

MyBrain Assessment The MyBrain Assessment delivers both the WebNeuro neurocognitive tests and the BRISC questionnaire items and references Brain Resource’s validated normative database to produce normed scores of Brain Health.

Motor CoordinaCon assessed by

Finger tapping

CogniCve Flexibility assessed by Switching of

ArenDon Trails

Working Memory

assessed by Digit Span

ExecuCve FuncCon

assessed by Maze

Verbal Memory assessed by Memory

RecogniDon

Decision speed assessed by Choice ReacDon Time

AbenCon assessed by ConDnuous

Performance Test

CogniCve control assessed by Stroop

EmoConal effects on decision making

assessed by memory for faces

Response InhibiCon assessed by Go/No-‐Go

Verbal memory delayed recall

assessed by Memory recogniDon

IdenCfying EmoCon assessed by Facial

EmoDon

Satisfaction Survey The Satisfaction Survey is presented as an optional web survey on the login after a user has engaged with at least 5 training solutions.

QuesCon # Format QuesCon Answers AUer parDcipaDng in MyBrainSoluDons, please answer the following quesDons:

1 MulDple Choice

I would rate my overall experience so far with MyBrainSoluDons as:

a.  Excellent b.  Very good c.  Good d.  Fair e.  Poor

2 MulDple Choice

I learned about MyBrainSoluDons through:

a.  Supervisor/Manager b.  Co-‐Worker c.  Email communicaDon d.  Home mailing e.  Employer website f.  Previous use g.  Human resources h.  Newslerer i.  Poster/flyer j.  Other (please specify)

3 Free text What moDvated you to register for MyBrainSoluDons?

Free text

Effectiveness Survey

QuesCon # Format QuesCon Answers

1 On a scale of 1-‐10 Managing my stress effecDvely Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

2 On a scale of 1-‐10 Having awareness of my posiDve feelings Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

3 On a scale of 1-‐10 Managing my day to day life concerns Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

4 On a scale of 1-‐10 Using a posiDve approach in my day to day life

Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

5 On a scale of 1-‐10 Making progress towards my goals Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

6 On a scale of 1-‐10 Focusing on my work or personal tasks Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

7 On a scale of 1-‐10 Remembering things easily Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

8 On a scale of 1-‐10 CommunicaDng effecDvely with others around me

Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

9 On a scale of 1-‐10 InteracDng effecDvely with others around me Not at all well -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Best I could be

The Effectiveness Survey is embedded in each MyBrain Assessment. It is also presented as an optional web survey 30 days after the first MyBrain Assessment is completed (in the ‘30 day survey’).

World Health Organization Health and Productivity Questionnaire

QuesCon # Format QuesCon Answers

1 MulDple Choice Are you employed Yes No

2 Integer Input About how many hours altogether did you work in the past 7 days allowable range 0-‐97

3 Integer Input How many hours does your employer expect you to work in a typical 7-‐day

week? allowable range 0-‐97

4

Integer Input Miss an enDre work day because of problems with your physical or mental health? (please include only days missed for your own health, not someone else's health)

allowable range 0-‐28

5 Integer Input

Miss an enDre work day for any other reason (including vacaDon)? allowable range 0-‐28

6

Integer Input Miss part of a work day because of problems with your physical or mental health? (please include only days missed for your own health, not someon else's health).

allowable range 0-‐28

7 Integer Input

Miss part of a work day for any other reason (including vacaDon) allowable range 0-‐28

8 Integer Input

Come in early, go home late, or work on your day off? allowable range 0-‐28

9 Integer Input

About how many hours altogether did you work in the past 4 weeks (28 days)? allowable range 0-‐488

10 On a scale of 0-‐10

On a scale from 0-‐10 where 0 is the worst job performance anyone could have at your job and 10 is the performance of a top worker, how would you rate the usual performance of most worksers in a job similar to yours?

worst performance 0 -‐1-‐2-‐3-‐4-‐5-‐6-‐7-‐8-‐9-‐10 -‐ Top performance

11 On a scale of 0-‐10 Using the same 0-‐10 scale, how would you rate your usual job performance over the past year or two?


12 On a scale of o-‐10 Using the same 0-‐10 scale, how would ou rate your overall job performance on the days you worked during the pasat 4 weeks (28 days)


The Health and Productivity Questionnaire (HPQ) is embedded in each MyBrain Assessment. It is also presented as an optional web survey 30 days after the first MyBrain Assessment is completed (in the ‘30 day survey’).

Additional Employee Questions

QuesCon # Format QuesCon Answers 1 MulDple

Choice AUer parDcipaDng in MyBrainSoluDons, I am planning on taking other steps to improve my health.

a. Yes, I am plan on taking other steps to improve my health b. No, I do not plan on taking other steps to improve my health c. Undecided

2 MulDple Choice

If you answered 'yes' above, how do you plan on taking other steps to improve your health?

a. on my own b. through employer benefits

3 MulDple Choice

My overall saDsfacDon with my employer has increased as a result of MyBrainSoluDons being made available to me.

a. Yes b. No c. Undecided

4

MulDple Choice

If MyBrainSoluDons had not been available, I would not have accessed other resources to address my health and wellbeing.

a. Yes, I would have accessed other resources to address my health and wellbeing. B. No, I would not have accessed other resources to address my health and wellbeing. C. Undecided

5

Free text field

If you answered 'yes' above, what resources would you have used?

6

MulDple choice

I would recommend others to use MyBrainSoluDons

a. Yes b. No c. Undecided

The below set of questions is presented in an optional web survey 30 days after the first MyBrain Assessment is completed (in the ‘30 day survey’).

Glossary MyBrainSolutions: a scientifically-developed web-based program designed to optimize whole brain functioning through training exercises (games), Insights (videos) and tools to track success and real-world goal improvement. MyBrain Assessment: a 30 minute scientifically validated assessment of brain function that is completed online. Brain Scores: A user’s performance on the MyBrain Assessment is ranked against thousands of age, gender and education matched peers who have also completed the assessment. Scores for the user are calculated in each brain process of Emotion, Thinking, Feeling and Self Regulation. The scores are out of a scale of 1-10. This range scales the range of performance in a healthy population of the users peers with 5.5 representing the average point. Emotion: Emotion is the process of you rapidly and nonconsciously picking up cues of danger and reward and reflexively reacting to them. The Emotion cues you rely on every day for nonverbal communication is the facial expression and body language of others. Processing Emotion cues is the brain basis of your intuition. Scores of 1-5.5 reflect a style of concretely detailed - you tend to focus on words than on face-body language emotion cues. Scores of 6-10 reflect a style of Nonconsciously Intuitive - you can effectively pick up multiple face-body cues simultaneously. Thinking: Thinking includes your focus, memory and planning. It is a conscious process in which you think in words. Scores of 1-5.5 in Thinking reflects a style of Novelty Engaged - you tend to be engaged by novelty and are likely to be involved in multiple tasks at one time. Scores 6 - 10: reflect a style of Logically Focused - you tend to focus on the most relevant information in a step-by-step manner. Feeling: Feelings are the conscious experience of your emotions by becoming aware of an increase in your heart beat or your breathing rate. Scores 1 - 5.5: You are Stress Sensitive - you tend to tune into Feelings of stress. Scores 6 - 10: You have Stress Mastery - you have the capacity to balance stress with positive Feelings. Self Regulation: Self Regulation describes how you manage your Emotions, Thinking and Feelings to best achieve Your Goals. Scores 1 - 5.5: You are Risk Oriented - you tend to be preoccupied by the risks and problems in situations. Scores 6 - 10: You are Positively Oriented - you tend to be focused on solutions and are optimistic, which helps you effectively build upon ‘what works’. Brain Profile: Your Brain Profile reflects the unique way you combine the way your process information across the 4 brain processes of Emotion, Thinking, Feeling and Self Regulation. Each profile’s descriptive name captures what is distinctive about your brain style for how you approach, interact and adapt to the changing world around you.

Glossary Brain Exercise: A brain exercise is an online interactive training program in either Emotion, Thinking, Feeling or Self Regulation. They are deigned to train and improve the brain processes of Emotion, Thinking, Feeling and Self Regulation. Although, because the brain is so highly interconnected, training one has #ow on effects to them all. Brain Insight: A brain insight is an online video program in a brain-based concept like effective communication, brain-based diet or goal setting. Most Insights are less than 10 minutes in length and provide information and insights the user can use in working towards their personal goals. Brain Points: Brain Points are awarded for activities completed on MyBrainSolutions. They are also a guide for your regular training. We recommend that you try to achieve 500 brain points each training session 2-3 times/week. Registered User: A registered user is an individual who has registered for a MyBrainSolutions account. Active User: A registered user is an Active user in a report if they have logged in at least once during that reporting month.

References MyBrain Assessment & Brain Pro"les Validity of MyBrain Assessment to measure each of the INTEGRATE core domains of brain function Cohen, R. A., R. H. Paul, et al. (2006). "Early life stress and adult emoDonal experience: an internaDonal perspecDve." Int J Psychiatry Med

36(1): 35-‐52. Gordon, E., K. J. Barner, et al. (2008). "An "integraDve neuroscience" plaoorm: applicaDon to profiles of negaDvity and posiDvity bias." J

Integr Neurosci 7(3): 345-‐366. Mathersul, D., D. M. Palmer, et al. (2009). "Explicit idenDficaDon and implicit recogniDon of facial emoDons: II. Core domains and

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