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 [email protected]