Work health

Roslyn MillerSenior Advisor, Healthy Workers InitiativeWorkplace Health and Safety Queensland

Integrating workplace safety, health and wellbeing- Innovative projects summary

Healthy Workers Initiative - Qld

•Workplace Health and Safety Queensland funded by Department of Health under Healthier.Happier.Workplaces program*, expires December 2015.

•Smoking, Nutrition, Alcohol, Physical Activity, Obesity + Mental Health (SNAPOM)

•All industry – targeted initiatives for priority industries in Construction, Transport,

Manufacturing, Mining, Agriculture, Public Service and Small Business

*Initially funded under National Partnership Agreement on Preventive Health 2011-2015

SMOKING

HEALTHY EATING PHYSICAL ACTIVITY

ALCOHOL OBESITY

Workplace Health and Safety Queensland

Healthy Workers Initiative

THE STORY SO FAR…

3 Grant Rounds 101 Recipients 49,000 plus workers

83 Professional

Development Forums758 organisations 1331 attendees

22 Leadership Forums 952 organisations 1918 attendees

8 Research InitiativesIn Transport, Construction & Agriculture Industries

$2,280,000Invested

2,597 Workplaces

66,270 Workers

OUR AIM IS TO REDUCE CHRONIC DISEASE RISK FACTORS BY:

Funded by the Funded by the Queensland Government Queensland Government underunder

Healthier. Healthier. Happier. Happier. WorkplacesWorkplaces

A Queensland Government initiative

June 2011 to September

2015

MENTAL HEALTH

What Queenslanders really look like……

1 in 2 adults reported a mental health disorder in their lifetime. 1 in 5 in the last 12 months

Obesity65% of adults are overweight or obese. 22% in 4 years & is the highest in Australia

Type 2 Diabetes1 in 12 Queenslanders has type 2 diabetes 1 undiagnosed case for every 4 diagnosed.

Cancer1/3 of the total burden of cancer was due to preventable risk factors - tobacco, physical activity, obesity & alcohol the largest causes.

Mental Health

414,000 businesses

1,243,500 workers

Queensland Health. The health of Queenslanders 2014. 5th report of the Chief Health Officer Queensland.

Benefits of H&W Programs

Likelihood of return to work following a physical injury:

20 days – 70% of returning45 days – 50% of returning70 days – 35% of returning

Workers with 2 or more chronic illnesses have 2 ½ times longer sickness absences than healthy workers (9.3 days vs 3.7days) 2

Injury risk is 13% higher for obese or overweight workers compared

to healthy weight workers. 3

Workers who smoke have a 38% higher risk of work-related injury than those who never smoked. 3

Workers who are overweight/obese miss more than twice as many workdays for work-related injuries

compared to workers of a healthy weight.1

7.4 days vs 3.3 days

1. Van Nuys, K., Globe, D., Ng-Mak, D., Cheung, H., Sullivan, J & Goldman, D. (2014)

2. Casimirri, E. et al (2014)

3. Dong, Z.S. Wantg, Z. & Largay, J.A. (2015)

4. Recognising the Health Benefits of Work

The Case for Intergration

Health behaviours

(e.g. smoking, nutrition)

Health outcomes

(e.g. obesity, diabetes)

WHS performance

(e.g. incidents,

work comp)

Personal factors

(e.g. lifestyle habits, socio-

economic status)

Work related factors(e.g. work demands, working hours)

Business outcomes(e.g. increase productivity, increased morale,

decreased injuries)

A modern regulator approach

TERTIARY INTERVENTION

-Injury management-Rehabilitation-Return-to-Work-Complaint work

SECONDARY INTERVENTION

Responding to early indicators of absence, injury and illness

PRIMARY INTERVENTION

PreventionRisk Management

Healthy Worker Initiative - Chronic Disease

IPAM Program – WHS improvement

People at Work – Psychosocial

PerFORM – Musculoskeletal

Barriers to overcome…..

Privacy

“Nice to have”

Silo Approach

Not Legislative

Evaluation

Cost

Targets Individuals

Adhoc

“Not our problem” mindset

Time

Healthy Worker framework – Building Sustainable Workplace programs

Innovation grants

Project

Live Well Farm Well

Healthy work – healthy you video resources

Train the champion – sedentary project

Turf growers accreditationESSA professional development points

Shift work & nutrition resource

Nutrition standards for work camps

Electrical industry resource development

Mental health and wellbeing pilot

Shifting Gears - Transport

Innovative Research Project

Shifting Gears – Transport•Linfox & Toll NQX •44 drivers – 34 local, 10 long haul•Average Age – 47 (local) 46 (long haul)•20 Week active living and healthy diet program•Jawbone device used to self monitor•Incentive scheme to encourage engagement

Innovative Research Project

13 drivers reached Gear shift 3 (50 points)4 drivers reached Gear shift 6 (200 points)

Innovative Research Project Outcomes

Sitting Time:

Local Delivery

Long Haul

During Shift Movement 1.2 hours .6 hours Local move more during shiftDuring Shift Stationary 2 hours 1 hour Local sit/lie more during shiftTime spent driving or standing

7.8 hours 10.2 hours 2.5 hours higher for Long Haul

• Based on a 24-hour monitoring period, drivers spent 22.3 hours not moving (this includes sleep time) on both work and non-workdays.

• Drivers averaged over an hour less sleep on workdays compared to non-workdays (5.1 hours verses 6.3 hours).

Innovative Research Project Outcomes

Quantitative Changes:

sitting by 2.4 hours/day (Long haul drivers )5% reduction in sedentary time during shifts over the program (approx. 40min decrease)Systolic blood pressure & waist circumference measures

Average steps/day - +337steps/day (8994 total)24% choosing healthier options & less saturated fat

Innovative Research Project Outcomes

Qualitative Changes:

•At the individual level – healthy choices more often•Increased self-awareness of good choices•virtual connection with health experts and other drivers•Most healthy changes were still evident at two months follow-up.

Innovative Research Project Outcomes

What the drivers & managers said:

One of the guys told me the band is the best thing that happened to him because it shows him what he had done in the day. Manager

It was brilliant. It motivated me to move as much as possible. It made me more mindful about the sleep as well. Long Haul Driver (casual)

Monitoring the steps is easier, you just wear the band. The diet is a bit harder and I tried to improve one little step at a time. Local Delivery Driver (casual)

I liked it because I could see how many steps I did in the day. I had some problems with the band and I had to drop out for a while. I’d cut down on what I was eating and stuff and I just stayed with what I was doing with the band. Local Delivery Driver (casual)

Innovative Research Project Outcomes

Future Recommendations:-Management and Union Support -Use smartphones and incentives -Use Champions-Multi-pronged health approach

- Environmental & organisational changes e.g. fridges and cooking equipment

-Further Research

This type of program is what we need for truck drivers. All trucking companies should take a look at their drivers and try to enhance their health and fitness to give a better performance. Local Delivery Driver (casual)

Healthy Work . Healthy You. Oil & Gas

Mental Health and Wellbeing pilot

+

Independent Schools Queensland•10 Independent Schools

Manufacturing •6 participants

Transport•7 Participants

Psychological Injury/Illness

Poor health behaviours

PhysicalIllness

Work-related Stress

HIGH JOB DEMANDS

1. Demand: role overload,cognitive demand, emotional demand

2. Role conflict and role ambiguity

3. Relationships: group taskconflict, group relationshipconflict, bullying

LOW JOB RESOURCES

4. Control

5. Support: supervisor and co-worker support

6. Change consultation

7. Recognition and reward

8. Procedural justice

Work-related stress framework

Healthy Worker framework

Healthy People

Survey

Environment & Individual

Objectives & Strategies

The processInfo dayProject aims

Resources

Communication strategies

Baseline survey

Planning day

Risk factors & how to control

ACTION PLAN

Engage with staff Survey

conducted Staff complete

online

Individual report

Except if less than 20 staff

Focus groups

Workplace consultation

Evaluation Implementation of strategies in

action plan

Debrief / 1 hr feedback

consultation feedback if required

Consultation offer

Key Learnings

• Systems based approach – “the way we do business”

• Focus on business outcomes and work related factors

• Develop a committee, identify champions to share the load

• Sustainability requires a mix of strategies (environmental & individual)

• Provide education, awareness and capacity building

• Start small and build up

• Promote the successes, big and small

Organisational Systems Benchmarking Tool

Key Features:Re-released in June 2015 with 32+ used the tool of which 50% all three systems

3118 Registered users

Online self assessment for Workplace Health & Safety, Work Health & Wellbeing, Rehabilitation & Return to Work

Benchmarks against other organisations of similar size & industry

Integrated systems based approach

Choice to complete 1, 2 or all 3

A comprehensive summary report

Comparison over time

Free & confidential.

Go to www.worksafe.qld.gov.au

• WHSQ Work Health website www.worksafe.qld.gov.au

• Healthier.Happier. Workplaceshttp://workplaces.healthier.qld.gov.au/

For more information