Four E’s of Worksite Wellness Success Engage, Enable, Educate, Empower

William B. Baun, EPD, CWP, FAWHP Wellness Officer MD Anderson Cancer Center President National Wellness Institute

Strength Development + Innovation = Engagement

Krueger & Killham (2012)

Engagement Stories

Driven by values, thinking, attitudes, and motivation

Successful Wellness Programs Characterized by a culture of health…..

“In a culture of health, employee well-being and organizational success are inextricably linked. It aligns leadership, benefits, policies, incentives, programs and environmental supports to reduce barriers to active engagement and sustainability of healthy lifestyles across the healthcare continuum.” “Wellness has become a business priority.” Catherine Baase, Global Medical Director Dow

Companies speak of culture of health as a paradigm shift they believe will reap both short and long term positive return-on-investment (ROI)…..

“GE is strengthening our commitment to health imagination – and more importantly to you and your families, by building a company-wide culture of health. We challenge you to do the same. Put health at the top of yours and your families priority lists. We think you’ll feel a whole lot better.”

Corporate climate and culture have significant influence on the shaping of health behaviors and practices of employees!

Opportunity 40% Self confidence Action Skill 25% Support Behavioral efficacy Self efficacy Motivation readiness 30% Knowledge Awareness 5%

Modified from O’Donnell (2010) WELCOA

Factors Impacting

Individual Behavior Change &

Creating a Culture of

Health

Journey of Worksite Wellness Engagement

Power of culture Behavior change strategies Degrees of engagement Collaborations Innovations Social media Change agents

Engagement – connect / commit

Head + Heart = Heightened Connections / Commitment

Engagement

Spiritual Occupational

Is expressed and measured in terms of feelings and behaviors

Wellness Touchstones Lead to engagement

Be Well

Engagement Pyramid Different mindset leads to different actions…..

Pass It On Own It Practice Maybe a Baby Step Considering No Interest / Opposed

Modified from Rosenblatt (2010)

Leveraging Sustained Engagement

Four E’s that Drive Wellness Programming Success Engagement – opportunities that connect and commit employees both intellectually (head) and emotionally (heart), and grow heightened levels of wellness ownership, self-responsibility, accountability Enable – providing the means and opportunities to be well, and make it possible, practical, or easy to make healthy choices and maintain healthy habits Educate – the learning processes designed, developed, and implemented to increase wellness knowledge, skill, attitudes, and commitment Empower – open individuals to the wisdom, experience, and motivation they possess

Enabling Factors Help Build a Strong Foundation •Availability of resources • Accessibility of services • Supportive policies • Multilevel Leadership Support

Richard Davis stressed the need for CEOs to become engaged with their employees' health and wellness and how it can affect so many different aspects of a company, of an employee's life, and of a community. He shared the pebble in the pond story and how CEOs can so strongly effect their environment. He believes it is a shared responsibility with his 62,248 employees at US Bancorp. He also challenged CEOs to take action, be courageous and do the right thing.

CEO’s Against Cancer Meeting June 2011

Richard Davis, CEO Bancorp

“The people who can do the most to fix American’s healthcare crisis in the next two to five years are the business leaders.” Ben R. Leedle, Jr. President and CEO Healthyways, Inc

Multilevel Leadership Support

Dr. Dee Edington University of Michigan

Levels of Support: Senior management creates and supports the vision “Vision without action is a day dream, action without vision is a nightmare.” Japanese Proverb Operations leadership implement and supports the vision “Operations leadership align the workplace with the vision and set goals to get people going, and values to sustain the effort.” Ken Blanchard Self leadership creates individuals focused on behavior change “Every human being is the author of his own health or disease.” Buddha

Wellness Social Networking Maximizes Community Engagement

Community: a place , feeling, relationships, common characteristics Community Mapping: boundaries, potential building blocks of people and/or other resources, collaborations, integrations

CDC (2011) Community Engagement

Availability of Resources Environmental Audit

• Availability of nutritious foods in vending machines and cafeterias • Availability of employee break rooms to store and prepare nutritious foods from home • Availability of tobacco-free areas • "Walkability" of the work place • Availability of fitness centers, shower facilities, multi-purpose paths, and bicycle racks, that support physical activity • Availability of lactation rooms • Availability of quiet places / rooms

CDC (2011) Healthier Worksite Initiative

What other resources, internal and external, would be important for your program?

Accessibility of Services Convenience matters…..

Appropriate screenings Parenting classes Appropriate immunizations Cooking classes Tobacco cessation Personal training Weight management Coach counseling Nutrition Quiet rooms Stress management Eldercare Relaxation Massage therapy Meditation Swimming pool Fitness center Healthy vending machines Walking path / trail Healthy cafeterias Legal assistance Aerobic classes Bike racks Pilates classes Showers & towels Yoga classes Dressing rooms Spinning classes Lactation rooms Walk / run / bike clubs Blood pressure machines Prenatal classes Work Life Employee Assistance

Supportive Policies • Tobacco • Paid time off to attend employee

development / wellness training • Worksite wellness committee • Program champs or ambassadors • Use of Employee Assistance

Program • Vending machine • Catering & food service • Physical activity • Participation in community-

sponsored, company supported events

• Working Mother / lactation room use • Flexible work hours / arrangements • Commuting / biking • Employee discounts, subsidies • Childcare / eldercare\ • New moms & dads

Educate It’s all about multiple touch points that facilitate adult learning …..

Learning – acquisition of new knowledge, skills, attitudes, and commitments

Group based learning Lunch-n-learn activities Individual learning Health fairs OJT Mini health fairs Distance learning Mentors Technology assisted learning Wellness portals Self-study Health risk assessments Guided learning Work related training Interactive learning Coach counseling Point of purchase information World café Problem solving activities

Educational Program Development Outline • Class / workshop title • Short description of class • Length of class • Maximum number of students • Suggested class frequency

Educational Objectives

Content (Topics)

Time Frame Presenter Teaching / Learning Strategy

Group discussion Small group discussion Facilitated lead Lecture Buddy / partner work Etc…..

• Best day of the week • Best time to offer • Classroom set up • Special equipment

Wellness Education Opportunities What’s hot and what’s not….. 4F Heart Health Plan 21 Ways to Manage Stress 12 Great Foods Boosting Energy Beating Stress Cooking Light Relax….Take a Breath Reading Food Labels Creating a Positive Mindset Kicking Cholesterol with Diet Getting a Good Night Sleep Mindful Eating Healthy Aging Portion Distortion Meditation Matters Snack Attacks Walking Meditation What = 100 Calories Smart Goals Whole Grains The Calming Function of Water Boosting Your Metabolism Put Yourself First Finding your Fitness Personality Eat This Not That Minutes a Day to a Healthy Back The Art of Reframing Office Stretch and Tone Anger Hot Stones The Basics of Stretching Put the Breaks on Stress The Do’s and Don’t of Exercise The Joy Diet Walking for the Health It Stand Tall Getting Ahead by Getting Started Clear Your Mind of Can’t Calming the Mind Stop the Clock The Science of Meditation Attitude the Difference Maker Fit2Run Unlocking Wisdom Through Journaling Yoga4U Wellness Leadership

Empowerment is not giving employees power, they already have power through their wisdom, experience, and motivation. Empowerment encourages employees to gain the knowledge, skills, attitudes, commitments and supports necessary to overcome the obstacles that keep them from being well.

“We’re committed to engaging our Associates in making healthy choices for themselves and their families, with the goal of maintaining their health and well-being. Ultimately, a healthy workforce is good for our Associates, communities, customers, and business.” H. Lee Scott, Jr President and CEO Wal-Mart Stores, Inc.

Empowerment happens when employees begin taking small steps to be well….. What starts those steps?

What Drives Empowerment?

Inspiration Education Revelation Motivation

Multiple Touchstones

Empowering Wellness Strategies

Reach

Coach / Counseling

Group Program

Brief Coaching

Self Help

Pamphlets

Low

High

Intervention Efficacy - Effectiveness High

Mass Media

Tailored Self-Help

Tailored Mats. & Telephone Counseling

Effective Technology- Based Interventions

Screenings Challenges

Program Calendar Strategizes Empowerment

J F M A M J J A S O N D J F M A M J

Awareness Motivation - Engagement

Behavior Change

Environmental Support

Worksite Wellness Empowerment Is all about passing it on…..

Self Peer Friends Family Neighborhood Community City / Organization

We don’t do wellness alone

Many successful wellness steps and accomplishments are nudged through relationships..... Nudges are gradual, intentional positive interactions of encouragement to BE WELL

N U D G E

Notice Understand Decide Guide Encourage

Bennett (2011) OWLS

How well are you leveraging the three E’s to sustain wellness engagement?

Four E’s that Drive Wellness Programming Success Engagement – opportunities that connect and commit employees both intellectually (head) and emotionally (heart), and grow heightened levels of wellness ownership, self-responsibility, accountability Educate – the learning processes designed, developed, and implemented to increase wellness knowledge, skill, attitudes, and commitment Enable – providing the means and opportunities to be well, and make it possible, practical, or easy to make healthy choices and maintain healthy habits Empower – open individuals to the wisdom, experience, and motivation they possess

What will you do to better leverage the 4e’s of worksite wellness success?