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Wellness Works | Michael Rouse | TEDxWesternU


he looks down he makes changes in his

he looks down he makes changes in his life let me give you another another

life let me give you another another

life let me give you another another anecdote lady decides to join the

anecdote lady decides to join the

anecdote lady decides to join the cycling group of work she hasn’t been on

cycling group of work she hasn’t been on

cycling group of work she hasn’t been on a bicycle in years she’s riding her

a bicycle in years she’s riding her

a bicycle in years she’s riding her bicycle and by the way she’s type 2

bicycle and by the way she’s type 2

bicycle and by the way she’s type 2 diabetic in fact she maxed out on the

diabetic in fact she maxed out on the

diabetic in fact she maxed out on the pills and she’s now injecting as well

pills and she’s now injecting as well

pills and she’s now injecting as well over time through cycling with the group

over time through cycling with the group

over time through cycling with the group at work and outside of work she is now

at work and outside of work she is now

at work and outside of work she is now on this on one pill a day and some days

on this on one pill a day and some days

on this on one pill a day and some days she doesn’t have to eject it all why

she doesn’t have to eject it all why

she doesn’t have to eject it all why because she got a little bit more active

because she got a little bit more active

because she got a little bit more active so there’s anecdotal evidence that

so there’s anecdotal evidence that

so there’s anecdotal evidence that workplace programs work because both of

workplace programs work because both of

workplace programs work because both of those examples are from a real workplace

those examples are from a real workplace

those examples are from a real workplace from real people who made decisions

from real people who made decisions

from real people who made decisions based on having workplace wellness

based on having workplace wellness

based on having workplace wellness program in their workplace is the

program in their workplace is the

program in their workplace is the workplace the place where health should

workplace the place where health should

workplace the place where health should happen though well when you think about

happen though well when you think about

happen though well when you think about it anybody who’s got a full-time job

it anybody who’s got a full-time job

it anybody who’s got a full-time job probably works anywhere from seven to

probably works anywhere from seven to

probably works anywhere from seven to ten hours a day every day at work and

ten hours a day every day at work and

ten hours a day every day at work and then they have some sleep time so that

then they have some sleep time so that

then they have some sleep time so that doesn’t leave a whole lot of other time

doesn’t leave a whole lot of other time

doesn’t leave a whole lot of other time for health care university student

for health care university student

for health care university student you’re probably working 14 hours a day

you’re probably working 14 hours a day

you’re probably working 14 hours a day there’s another more compelling reason

there’s another more compelling reason

there’s another more compelling reason why the workplace is the right place for

why the workplace is the right place for

why the workplace is the right place for help and for health information this is

help and for health information this is

help and for health information this is some research I was done by Shona Burke

some research I was done by Shona Burke

some research I was done by Shona Burke and her colleagues and what this

and her colleagues and what this

and her colleagues and what this suggests is that the effect size is

suggests is that the effect size is

suggests is that the effect size is greater for what we call a true group

greater for what we call a true group

greater for what we call a true group now a true group is people who interact

now a true group is people who interact

now a true group is people who interact with each other like colleagues at work

with each other like colleagues at work

with each other like colleagues at work like friends and so on and for any of

like friends and so on and for any of

like friends and so on and for any of you who have ever tried to go on a diet

you who have ever tried to go on a diet

you who have ever tried to go on a diet tried to get on an exercise regime by

tried to get on an exercise regime by

tried to get on an exercise regime by yourself it is just about impossible

yourself it is just about impossible

yourself it is just about impossible when you’ve got its peer support and if

when you’ve got its peer support and if

when you’ve got its peer support and if that peer support is with you seven

that peer support is with you seven

that peer support is with you seven hours a day or eight hours a day at work

hours a day or eight hours a day at work

hours a day or eight hours a day at work then it becomes a whole lot easier and

then it becomes a whole lot easier and

then it becomes a whole lot easier and quite clearly from from Professor

quite clearly from from Professor

quite clearly from from Professor Burke’s work and colleagues we can see

Burke’s work and colleagues we can see

Burke’s work and colleagues we can see that having that true group supporting

that having that true group supporting

that having that true group supporting you in health makes a big difference let

you in health makes a big difference let

you in health makes a big difference let me tell you about about a research

me tell you about about a research

me tell you about about a research project that we started this is we

project that we started this is we

project that we started this is we started actually way back in 2011 was

started actually way back in 2011 was

started actually way back in 2011 was when the idea for this

when the idea for this

when the idea for this project first started the idea behind it

project first started the idea behind it

project first started the idea behind it was is that we couldn’t find evidence

was is that we couldn’t find evidence

was is that we couldn’t find evidence for workplace wellness programs

for workplace wellness programs

for workplace wellness programs effectiveness there was lots of

effectiveness there was lots of

effectiveness there was lots of anecdotal work there was lots of kind of

anecdotal work there was lots of kind of

anecdotal work there was lots of kind of pretest post-test you know we put in a

pretest post-test you know we put in a

pretest post-test you know we put in a wellness program at time one and at the

wellness program at time one and at the

wellness program at time one and at the end of four years we’ve got all of these

end of four years we’ve got all of these

end of four years we’ve got all of these you know decrease in drug costs we’ve

you know decrease in drug costs we’ve

you know decrease in drug costs we’ve got improvement in people’s health and

got improvement in people’s health and

got improvement in people’s health and so on that however is not evidence from

so on that however is not evidence from

so on that however is not evidence from a scientific point of view and you all

a scientific point of view and you all

a scientific point of view and you all know that there’s kind of a hierarchy in

know that there’s kind of a hierarchy in

know that there’s kind of a hierarchy in terms of evidence yeah a randomized

terms of evidence yeah a randomized

terms of evidence yeah a randomized control trial is at the top all right

control trial is at the top all right

control trial is at the top all right then you kind of work your way down and

then you kind of work your way down and

then you kind of work your way down and way down near the middle is kind of

way down near the middle is kind of

way down near the middle is kind of pretest post-test and way down at the

pretest post-test and way down at the

pretest post-test and way down at the bottom is anecdote in terms of what we

bottom is anecdote in terms of what we

bottom is anecdote in terms of what we consider to be evidence in science and

consider to be evidence in science and

consider to be evidence in science and so we wanted to go in and do the best

so we wanted to go in and do the best

so we wanted to go in and do the best study we possibly could in terms of

study we possibly could in terms of

study we possibly could in terms of trying to find the evidence for

trying to find the evidence for

trying to find the evidence for workplace wellness programs the best we

workplace wellness programs the best we

workplace wellness programs the best we could do was a treatment control group

could do was a treatment control group

could do was a treatment control group study across time we couldn’t do a

study across time we couldn’t do a

study across time we couldn’t do a randomized control trial because quite

randomized control trial because quite

randomized control trial because quite clearly the companies had to volunteer

clearly the companies had to volunteer

clearly the companies had to volunteer to put in a wellness program and their

to put in a wellness program and their

to put in a wellness program and their organizations the employees in the

organizations the employees in the

organizations the employees in the treatment group they had to volunteer to

treatment group they had to volunteer to

treatment group they had to volunteer to be as part a part of the Wellness

be as part a part of the Wellness

be as part a part of the Wellness Program even the control group they had

Program even the control group they had

Program even the control group they had to volunteer to be to be part of the

to volunteer to be to be part of the

to volunteer to be to be part of the control group and to fill out surveys

control group and to fill out surveys

control group and to fill out surveys and so on so this isn’t a randomized

and so on so this isn’t a randomized

and so on so this isn’t a randomized control trial but this is kind of the

control trial but this is kind of the

control trial but this is kind of the best that we could do and by the way

best that we could do and by the way

best that we could do and by the way this is what a two year study looks like

this is what a two year study looks like

this is what a two year study looks like it’s like six years already and we’re

it’s like six years already and we’re

it’s like six years already and we’re probably going to be having outputs for

probably going to be having outputs for

probably going to be having outputs for a few more years after that you can see

a few more years after that you can see

a few more years after that you can see from this that it was in two phases

from this that it was in two phases

from this that it was in two phases phase one we did a meta-analysis I’m

phase one we did a meta-analysis I’m

phase one we did a meta-analysis I’m going to talk very briefly about that

going to talk very briefly about that

going to talk very briefly about that phase two is this kind of treatment and

phase two is this kind of treatment and

phase two is this kind of treatment and control group study and we’ve only just

control group study and we’ve only just

control group study and we’ve only just finished that this summer and so some of

finished that this summer and so some of

finished that this summer and so some of the data that I’m going to be talking to

the data that I’m going to be talking to

the data that I’m going to be talking to you about now is is that recent like it

you about now is is that recent like it

you about now is is that recent like it isn’t even impressed I was going to say

isn’t even impressed I was going to say

isn’t even impressed I was going to say hot off the press but it isn’t even

hot off the press but it isn’t even

hot off the press but it isn’t even gotten depressed yet right we’re just

gotten depressed yet right we’re just

gotten depressed yet right we’re just we’re just trying to get the information

we’re just trying to get the information

we’re just trying to get the information out as quickly as we possibly can

out as quickly as we possibly can

out as quickly as we possibly can without jeopardizing our position to our

without jeopardizing our position to our

without jeopardizing our position to our ability to publish the work at a later

ability to publish the work at a later

ability to publish the work at a later date let’s talk about the meta-analysis

date let’s talk about the meta-analysis

date let’s talk about the meta-analysis you already heard earlier today from

you already heard earlier today from

you already heard earlier today from Shane about Cochrane reviews let me tell

Shane about Cochrane reviews let me tell

Shane about Cochrane reviews let me tell you a meta-analysis is probably the

you a meta-analysis is probably the

you a meta-analysis is probably the biggest idea in the last hundred years

biggest idea in the last hundred years

biggest idea in the last hundred years meta analyses have saved more lives than

meta analyses have saved more lives than

meta analyses have saved more lives than people

people

people we’ll meet in your entire lifetime what

we’ll meet in your entire lifetime what

we’ll meet in your entire lifetime what amount meta-analysis does is it takes a

amount meta-analysis does is it takes a

amount meta-analysis does is it takes a whole bunch of different studies yeah

whole bunch of different studies yeah

whole bunch of different studies yeah that read that meet a certain level of

that read that meet a certain level of

that read that meet a certain level of rigor it pulls them all together as if

rigor it pulls them all together as if

rigor it pulls them all together as if they were a single study and now you’ve

they were a single study and now you’ve

they were a single study and now you’ve got much more statistical power yeah now

got much more statistical power yeah now

got much more statistical power yeah now you can get much stronger much more

you can get much stronger much more

you can get much stronger much more significant correlations and so that’s

significant correlations and so that’s

significant correlations and so that’s what you do with the meta-analysis so we

what you do with the meta-analysis so we

what you do with the meta-analysis so we did a meta-analysis on all of the

did a meta-analysis on all of the

did a meta-analysis on all of the research that was done we started out we

research that was done we started out we

research that was done we started out we want to find all the research that was

want to find all the research that was

want to find all the research that was done in Canada all the credible research

done in Canada all the credible research

done in Canada all the credible research with at least the treatment and control

with at least the treatment and control

with at least the treatment and control group we found none so then we said okay

group we found none so then we said okay

group we found none so then we said okay well lets relax our eligibility criteria

well lets relax our eligibility criteria

well lets relax our eligibility criteria and let’s do treatment and comparison

and let’s do treatment and comparison

and let’s do treatment and comparison group we found none lots pretest

group we found none lots pretest

group we found none lots pretest post-test but now we’re getting too low

post-test but now we’re getting too low

post-test but now we’re getting too low in the scale in terms of what would

in the scale in terms of what would

in the scale in terms of what would qualify as evidence for us so then we

qualify as evidence for us so then we

qualify as evidence for us so then we said okay there’s no Canadian work

said okay there’s no Canadian work

said okay there’s no Canadian work there’s some really good work done in

there’s some really good work done in

there’s some really good work done in the US but no Canadian work so let’s do

the US but no Canadian work so let’s do

the US but no Canadian work so let’s do the whole rest of the world published in

the whole rest of the world published in

the whole rest of the world published in English except for the u.s. because that

English except for the u.s. because that

English except for the u.s. because that works already been done most notably by

works already been done most notably by

works already been done most notably by baker and colleagues from harvard and

baker and colleagues from harvard and

baker and colleagues from harvard and these are the results that we got you

these are the results that we got you

these are the results that we got you can save 14 to thirty-six percent

can save 14 to thirty-six percent

can save 14 to thirty-six percent absenteeism if you have a wellness

absenteeism if you have a wellness

absenteeism if you have a wellness program we looked at some 504 papers you

program we looked at some 504 papers you

program we looked at some 504 papers you know how many we got that were rigorous

know how many we got that were rigorous

know how many we got that were rigorous enough we could actually use in our

enough we could actually use in our

enough we could actually use in our meta-analysis yeah for I was so

meta-analysis yeah for I was so

meta-analysis yeah for I was so depressed yeah I remember walking into

depressed yeah I remember walking into

depressed yeah I remember walking into me I says we got four papers and one of

me I says we got four papers and one of

me I says we got four papers and one of my colleagues is on the research team

my colleagues is on the research team

my colleagues is on the research team professor Greg is eric said you know

professor Greg is eric said you know

professor Greg is eric said you know what he’s a he’s a health economist he

what he’s a he’s a health economist he

what he’s a he’s a health economist he said my space for is good and I said

said my space for is good and I said

said my space for is good and I said excellent we’ll go for it so we did

excellent we’ll go for it so we did

excellent we’ll go for it so we did before these are the results that we’ve

before these are the results that we’ve

before these are the results that we’ve got you can save one point five to one

got you can save one point five to one

got you can save one point five to one point seven days worth of absenteeism on

point seven days worth of absenteeism on

point seven days worth of absenteeism on average if you put in a workplace

average if you put in a workplace

average if you put in a workplace wellness program what that means for

wellness program what that means for

wellness program what that means for Canadian businesses

point six billion dollars in absenteeism

point six billion dollars in absenteeism alone if you put in a wellness program

alone if you put in a wellness program

alone if you put in a wellness program now there’s another thing to be thinking

now there’s another thing to be thinking

now there’s another thing to be thinking about in terms of absence when we’re

about in terms of absence when we’re

about in terms of absence when we’re talking about absence what they’re

talking about absence what they’re

talking about absence what they’re calculating is what we’re paying the

calculating is what we’re paying the

calculating is what we’re paying the employee for doing no work because

employee for doing no work because

employee for doing no work because they’re not here the true value of that

they’re not here the true value of that

they’re not here the true value of that employee is their productive value

employee is their productive value

employee is their productive value what’s the multiple the reason they’re

what’s the multiple the reason they’re

what’s the multiple the reason they’re paying you 20 bucks an hour is because

paying you 20 bucks an hour is because

paying you 20 bucks an hour is because you’re worth 50 so that’s the number you

you’re worth 50 so that’s the number you

you’re worth 50 so that’s the number you should be going for ya so now do a

should be going for ya so now do a

should be going for ya so now do a multiple on that 3.6 billion you can see

multiple on that 3.6 billion you can see

multiple on that 3.6 billion you can see what absenteeism is costing the Canadian

what absenteeism is costing the Canadian

what absenteeism is costing the Canadian economy every year and that’s just

economy every year and that’s just

economy every year and that’s just absent kids never mind all the other

absent kids never mind all the other

absent kids never mind all the other human costs okay so that that was the

human costs okay so that that was the

human costs okay so that that was the start in absenteeism was all we could

start in absenteeism was all we could

start in absenteeism was all we could talk about all of those studies all over

talk about all of those studies all over

talk about all of those studies all over the world and the only conclusion we

the world and the only conclusion we

the world and the only conclusion we could come to for which we had data was

could come to for which we had data was

could come to for which we had data was about absenteeism nothing about reduced

about absenteeism nothing about reduced

about absenteeism nothing about reduced drug costs nothing about improved health

drug costs nothing about improved health

drug costs nothing about improved health etc etc so obviously there was room for

etc etc so obviously there was room for

etc etc so obviously there was room for our study here’s what our study looks

our study here’s what our study looks

our study here’s what our study looks like we have a treatment group and the

like we have a treatment group and the

like we have a treatment group and the treatment group and the control groups

treatment group and the control groups

treatment group and the control groups are both exactly the same company but

are both exactly the same company but

are both exactly the same company but they’re geographically distinct so the

they’re geographically distinct so the

they’re geographically distinct so the treatment group is in one building in

treatment group is in one building in

treatment group is in one building in one city the control group is the same

one city the control group is the same

one city the control group is the same company but in another building in

company but in another building in

company but in another building in another city or maybe they’re out in the

another city or maybe they’re out in the

another city or maybe they’re out in the field and the reason why we did this

field and the reason why we did this

field and the reason why we did this because we want to control for a host of

because we want to control for a host of

because we want to control for a host of variables we want to control for the

variables we want to control for the

variables we want to control for the policy space some organizational culture

policy space some organizational culture

policy space some organizational culture the suppliers the buyers the industry

the suppliers the buyers the industry

the suppliers the buyers the industry right Ronnie belt because in the end we

right Ronnie belt because in the end we

right Ronnie belt because in the end we want to compare the treatment group to

want to compare the treatment group to

want to compare the treatment group to the control group and we want to be able

the control group and we want to be able

the control group and we want to be able to say with some kind of certainty that

to say with some kind of certainty that

to say with some kind of certainty that the difference we’re seeing is not a

the difference we’re seeing is not a

the difference we’re seeing is not a function of things outside of the

function of things outside of the

function of things outside of the organization but they’re a function of

organization but they’re a function of

organization but they’re a function of the wellness program itself and that’s

the wellness program itself and that’s

the wellness program itself and that’s important to be able to do that and

important to be able to do that and

important to be able to do that and frankly that hasn’t been done before so

frankly that hasn’t been done before so

frankly that hasn’t been done before so we actually have our control groups

we actually have our control groups

we actually have our control groups divided in two we’ve got one group of

divided in two we’ve got one group of

divided in two we’ve got one group of controls get the survey yeah because we

controls get the survey yeah because we

controls get the survey yeah because we want to compare the treatment control

want to compare the treatment control

want to compare the treatment control groups so we need to survey data the

groups so we need to survey data the

groups so we need to survey data the other set of control groups has the

other set of control groups has the

other set of control groups has the survey as well as biometric screening

survey as well as biometric screening

survey as well as biometric screening clinics now we know that by surveying

clinics now we know that by surveying

clinics now we know that by surveying people and especially by giving them

people and especially by giving them

people and especially by giving them biometric screening clinics we are

biometric screening clinics we are

biometric screening clinics we are shrinking that magnitude of effect right

shrinking that magnitude of effect right

shrinking that magnitude of effect right between the treatment group in the

between the treatment group in the

between the treatment group in the control group why because if

control group why because if

control group why because if you do anything for your people they

you do anything for your people they

you do anything for your people they will respond positively that’s called

will respond positively that’s called

will respond positively that’s called business we call that the Hawthorne

business we call that the Hawthorne

business we call that the Hawthorne effect right and it’s from a general

effect right and it’s from a general

effect right and it’s from a general electric study where they turned up the

electric study where they turned up the

electric study where they turned up the lights to see if employees would work

lights to see if employees would work

lights to see if employees would work harder and they did they thought wow

harder and they did they thought wow

harder and they did they thought wow this is really cool let’s go write it up

this is really cool let’s go write it up

this is really cool let’s go write it up so they turned the lights down as they

so they turned the lights down as they

so they turned the lights down as they left and guess what people work harder

left and guess what people work harder

left and guess what people work harder it had nothing to do with the lights it

it had nothing to do with the lights it

it had nothing to do with the lights it was the fact that you actually did

was the fact that you actually did

was the fact that you actually did something for your people all right

something for your people all right

something for your people all right that’s what makes a difference so we

that’s what makes a difference so we

that’s what makes a difference so we know that people respond right to being

know that people respond right to being

know that people respond right to being serving so just by surveying them just

serving so just by surveying them just

serving so just by surveying them just by giving them biometric screening

by giving them biometric screening

by giving them biometric screening clinics we knew we would be changing

clinics we knew we would be changing

clinics we knew we would be changing their behaviors and by the way we

their behaviors and by the way we

their behaviors and by the way we purposely change some behaviors so for

purposely change some behaviors so for

purposely change some behaviors so for example we had people in a control group

example we had people in a control group

example we had people in a control group where we had them at the biometric

where we had them at the biometric

where we had them at the biometric screening clinic and we had to say to

screening clinic and we had to say to

screening clinic and we had to say to them look we are not doing a diagnosis

them look we are not doing a diagnosis

them look we are not doing a diagnosis it was a registered nurse that was

it was a registered nurse that was

it was a registered nurse that was actually doing the clinic we’re not

actually doing the clinic we’re not

actually doing the clinic we’re not doing a diagnosis but you know take this

doing a diagnosis but you know take this

doing a diagnosis but you know take this piece of paper take these numbers and

piece of paper take these numbers and

piece of paper take these numbers and please please please go see your dog so

please please please go see your dog so

please please please go see your dog so we were already changing people’s health

we were already changing people’s health

we were already changing people’s health behaviors well frankly that was the

behaviors well frankly that was the

behaviors well frankly that was the other thing to do and you all would have

other thing to do and you all would have

other thing to do and you all would have done the sandwich err this is what the

done the sandwich err this is what the

done the sandwich err this is what the study looks like across Canada we had

study looks like across Canada we had

study looks like across Canada we had sadly nobody from Eastern Canada but we

sadly nobody from Eastern Canada but we

sadly nobody from Eastern Canada but we had all the other problems as

had all the other problems as

had all the other problems as represented and the topography actually

represented and the topography actually

represented and the topography actually represents the number of participants we

represents the number of participants we

represents the number of participants we had we had six companies 28 says sites

had we had six companies 28 says sites

had we had six companies 28 says sites some 840 people participate actually 104

some 840 people participate actually 104

some 840 people participate actually 104 actually signed consent forms we had a

actually signed consent forms we had a

actually signed consent forms we had a really good selection of industries we

really good selection of industries we

really good selection of industries we had a really good selection of job

had a really good selection of job

had a really good selection of job categories so we had managers executives

categories so we had managers executives

categories so we had managers executives had sales people at cetera et cetera so

had sales people at cetera et cetera so

had sales people at cetera et cetera so this isn’t purely representative of the

this isn’t purely representative of the

this isn’t purely representative of the of a Canadian it would if it was a

of a Canadian it would if it was a

of a Canadian it would if it was a randomized control trial it would be

randomized control trial it would be

randomized control trial it would be much more representative of Canada but

much more representative of Canada but

much more representative of Canada but we’re pretty close we’re pretty close

we’re pretty close we’re pretty close

we’re pretty close we’re pretty close we’re pretty close in terms of age we’re

we’re pretty close in terms of age we’re

we’re pretty close in terms of age we’re pretty close in terms of body mass index

pretty close in terms of body mass index

pretty close in terms of body mass index for example so it’s reasonable and we’re

for example so it’s reasonable and we’re

for example so it’s reasonable and we’re pretty happy with it and a fairly

pretty happy with it and a fairly

pretty happy with it and a fairly confident that our results will be

confident that our results will be

confident that our results will be reasonably generalizable certainly in a

reasonably generalizable certainly in a

reasonably generalizable certainly in a Canadian context

Canadian context

Canadian context one of the things that we developed as

one of the things that we developed as

one of the things that we developed as part of the Wellness Program is we

part of the Wellness Program is we

part of the Wellness Program is we develop this index and on the far

develop this index and on the far

develop this index and on the far right-hand side we have a whole series

right-hand side we have a whole series

right-hand side we have a whole series of survey question items that feed into

of survey question items that feed into

of survey question items that feed into all of these all of these sub components

all of these all of these sub components

all of these all of these sub components now the survey questions that feed into

now the survey questions that feed into

now the survey questions that feed into those sub components are all behavioral

those sub components are all behavioral

those sub components are all behavioral questions not perception questions and

questions not perception questions and

questions not perception questions and that’s really important and that makes a

that’s really important and that makes a

that’s really important and that makes a difference because we ran the

difference because we ran the

difference because we ran the correlations between people’s

correlations between people’s

correlations between people’s perceptions of their health and the

perceptions of their health and the

perceptions of their health and the numbers that we got from the biometric

numbers that we got from the biometric

numbers that we got from the biometric screening and there’s zero correlation

screening and there’s zero correlation

screening and there’s zero correlation zero correlation people’s perceptions of

zero correlation people’s perceptions of

zero correlation people’s perceptions of themselves aren’t the same as themselves

themselves aren’t the same as themselves

themselves aren’t the same as themselves I mean my perception of myself when I

I mean my perception of myself when I

I mean my perception of myself when I look in the mirror I love to cycle yeah

look in the mirror I love to cycle yeah

look in the mirror I love to cycle yeah so when I look in a mammal by the way

so when I look in a mammal by the way

so when I look in a mammal by the way middle-aged man and like her yeah okay

middle-aged man and like her yeah okay

middle-aged man and like her yeah okay so and I know you’re all picture get

so and I know you’re all picture get

so and I know you’re all picture get your mind right um so I look in the

your mind right um so I look in the

your mind right um so I look in the mirror and I see Chris Froome right the

mirror and I see Chris Froome right the

mirror and I see Chris Froome right the winner of the Tour de France or rider

winner of the Tour de France or rider

winner of the Tour de France or rider hey Joe doll you know the Canadian new

hey Joe doll you know the Canadian new

hey Joe doll you know the Canadian new one the 0 to tell you a couple years ago

one the 0 to tell you a couple years ago

one the 0 to tell you a couple years ago when you guys look at me you probably

when you guys look at me you probably

when you guys look at me you probably see an old guy yeah okay so perception

see an old guy yeah okay so perception

see an old guy yeah okay so perception is totally different from the reality

is totally different from the reality

is totally different from the reality and so that’s exactly what we found with

and so that’s exactly what we found with

and so that’s exactly what we found with people’s perceptions of their help now

people’s perceptions of their help now

people’s perceptions of their help now all of these sub components feed into

all of these sub components feed into

all of these sub components feed into these these components here and these

these these components here and these

these these components here and these components are all waited from the

components are all waited from the

components are all waited from the literature so forty-four percent is for

literature so forty-four percent is for

literature so forty-four percent is for culture and engagement 22% for stress

culture and engagement 22% for stress

culture and engagement 22% for stress and by the way when when executives are

and by the way when when executives are

and by the way when when executives are surveyed about the most important

surveyed about the most important

surveyed about the most important elements in their in their business they

elements in their in their business they

elements in their in their business they talk about engagement they talk about

talk about engagement they talk about

talk about engagement they talk about stress yeah so it’s no wonder that these

stress yeah so it’s no wonder that these

stress yeah so it’s no wonder that these these know

these know

these know came up the way they did and then based

came up the way they did and then based

came up the way they did and then based on this waiting they all feed into this

on this waiting they all feed into this

on this waiting they all feed into this organizational wellness index reason we

organizational wellness index reason we

organizational wellness index reason we developed this index is so that people

developed this index is so that people

developed this index is so that people could see where they stood at one point

could see where they stood at one point

could see where they stood at one point in time with your organization what

in time with your organization what

in time with your organization what their score was if you like report card

their score was if you like report card

their score was if you like report card and then they could do it again six

and then they could do it again six

and then they could do it again six months later or a year later yeah they

months later or a year later yeah they

months later or a year later yeah they can see whether they’re improving or

can see whether they’re improving or

can see whether they’re improving or whether they’re or whether they’re not

whether they’re or whether they’re not

whether they’re or whether they’re not and be able to take remedial action so

and be able to take remedial action so

and be able to take remedial action so I’m going to talk to you a little bit

I’m going to talk to you a little bit

I’m going to talk to you a little bit about some of the results from this from

about some of the results from this from

about some of the results from this from this wellness index and then I’m going

this wellness index and then I’m going

this wellness index and then I’m going to talk about a couple of the things

to talk about a couple of the things

to talk about a couple of the things that we’ve got come out of the come out

that we’ve got come out of the come out

that we’ve got come out of the come out of the research so far this is what

of the research so far this is what

of the research so far this is what we’ve got so far this is wellness index

we’ve got so far this is wellness index

we’ve got so far this is wellness index stuff and if you look at the overall

stuff and if you look at the overall

stuff and if you look at the overall wellness index yeah this is the

wellness index yeah this is the

wellness index yeah this is the treatment group six point eight points

treatment group six point eight points

treatment group six point eight points improvement this is the control group

improvement this is the control group

improvement this is the control group 2.7 now remember both of those control

2.7 now remember both of those control

2.7 now remember both of those control groups are actually increased because

groups are actually increased because

groups are actually increased because we’re surveying and especially for the

we’re surveying and especially for the

we’re surveying and especially for the ones that got both the survey and the

ones that got both the survey and the

ones that got both the survey and the biometric screening there’s a lot of

biometric screening there’s a lot of

biometric screening there’s a lot of people change their change their

people change their change their

people change their change their behaviors because because they got

behaviors because because they got

behaviors because because they got screened but even if that wasn’t the

screened but even if that wasn’t the

screened but even if that wasn’t the case this is Tony yeah let’s look at

case this is Tony yeah let’s look at

case this is Tony yeah let’s look at some of these other numbers some of the

some of these other numbers some of the

some of these other numbers some of the stuff we know about addiction alcohol

stuff we know about addiction alcohol

stuff we know about addiction alcohol and tobacco for example we heard this

and tobacco for example we heard this

and tobacco for example we heard this morning already yeah very difficult to

morning already yeah very difficult to

morning already yeah very difficult to change those and this was a two year

change those and this was a two year

change those and this was a two year study and we saw zero improvement in the

study and we saw zero improvement in the

study and we saw zero improvement in the in the treatment group and a little bit

in the treatment group and a little bit

in the treatment group and a little bit of a decrease in the in the control

of a decrease in the in the control

of a decrease in the in the control group if we look at stress that’s pretty

group if we look at stress that’s pretty

group if we look at stress that’s pretty nice we were pretty happy to see that

nice we were pretty happy to see that

nice we were pretty happy to see that yeah that is they that is a significant

yeah that is they that is a significant

yeah that is they that is a significant that’s a improvement over the control

that’s a improvement over the control

that’s a improvement over the control group if you look over here culture and

group if you look over here culture and

group if you look over here culture and engagement nutrition basically about the

engagement nutrition basically about the

engagement nutrition basically about the same I mean everybody’s being bombarded

same I mean everybody’s being bombarded

same I mean everybody’s being bombarded I mean Bacon’s not good for you know

I mean Bacon’s not good for you know

I mean Bacon’s not good for you know it’s not good for you don’t drink too

it’s not good for you don’t drink too

it’s not good for you don’t drink too much water okay so you know we’re

much water okay so you know we’re

much water okay so you know we’re bombarded with nutrition so it’s no

bombarded with nutrition so it’s no

bombarded with nutrition so it’s no wonder that these two are the same but

wonder that these two are the same but

wonder that these two are the same but look at this increase in physical

look at this increase in physical

look at this increase in physical activity I get all goosebump like when I

activity I get all goosebump like when I

activity I get all goosebump like when I see that that is absolutely remarkable

see that that is absolutely remarkable

see that that is absolutely remarkable one of the things that we know is the

one of the things that we know is the

one of the things that we know is the very famous study by booth at all they

very famous study by booth at all they

very famous study by booth at all they claim that the sink

claim that the sink

claim that the sink most important intervention they can

most important intervention they can

most important intervention they can think of to improve some 17 health risk

think of to improve some 17 health risk

think of to improve some 17 health risk factors is exercise you’ve all heard of

factors is exercise you’ve all heard of

factors is exercise you’ve all heard of sitting disease we are which is becoming

sitting disease we are which is becoming

sitting disease we are which is becoming a really popular now you’re not supposed

a really popular now you’re not supposed

a really popular now you’re not supposed to sit more than more than an hour

to sit more than more than an hour

to sit more than more than an hour without getting up and moving around

without getting up and moving around

without getting up and moving around yeah well that’s Wow look at the impact

yeah well that’s Wow look at the impact

yeah well that’s Wow look at the impact we’re having here early indications this

we’re having here early indications this

we’re having here early indications this is this is looking this is looking

is this is looking this is looking

is this is looking this is looking pretty nice in terms of health and

pretty nice in terms of health and

pretty nice in terms of health and remember you have to have a health case

remember you have to have a health case

remember you have to have a health case and a business case I feel so sorry for

and a business case I feel so sorry for

and a business case I feel so sorry for people who want to get a workplace

people who want to get a workplace

people who want to get a workplace wellness program in their organization

wellness program in their organization

wellness program in their organization whether it’s a business or a not for

whether it’s a business or a not for

whether it’s a business or a not for profit or government department or

profit or government department or

profit or government department or whatever because they got a tough road

whatever because they got a tough road

whatever because they got a tough road to hoe you have to walk in and say okay

to hoe you have to walk in and say okay

to hoe you have to walk in and say okay it’s going to improve people’s health

it’s going to improve people’s health

it’s going to improve people’s health yeah and then the chief finance officer

yeah and then the chief finance officer

yeah and then the chief finance officer says but will there be a return on

says but will there be a return on

says but will there be a return on investment or is this going to cost

investment or is this going to cost

investment or is this going to cost where is the evidence that it works and

where is the evidence that it works and

where is the evidence that it works and how much is this going to cost us and

how much is this going to cost us and

how much is this going to cost us and right now frankly as you heard earlier

right now frankly as you heard earlier

right now frankly as you heard earlier there is no evidence so we’re hoping

there is no evidence so we’re hoping

there is no evidence so we’re hoping that some of the evidence that we’re

that some of the evidence that we’re

that some of the evidence that we’re producing here will help people as they

producing here will help people as they

producing here will help people as they go into into the the boardrooms for that

go into into the the boardrooms for that

go into into the the boardrooms for that critical meeting with finance officer to

critical meeting with finance officer to

critical meeting with finance officer to say you know what known is it better for

say you know what known is it better for

say you know what known is it better for people’s health business case to so this

people’s health business case to so this

people’s health business case to so this is a good argument for that for the

is a good argument for that for the

is a good argument for that for the health case and we’ve seen that there is

health case and we’ve seen that there is

health case and we’ve seen that there is a good argument for the business case

a good argument for the business case

a good argument for the business case just from the savings in absenteeism

just from the savings in absenteeism

just from the savings in absenteeism alone this is a little bit small for you

alone this is a little bit small for you

alone this is a little bit small for you to read but there’s a couple things I

to read but there’s a couple things I

to read but there’s a couple things I want to flag up for you here number one

want to flag up for you here number one

want to flag up for you here number one is the perception of a lack of healthy

is the perception of a lack of healthy

is the perception of a lack of healthy food choices that’s come down by six

food choices that’s come down by six

food choices that’s come down by six points lack of knowledge has come down

points lack of knowledge has come down

points lack of knowledge has come down you can read as well as I can’t 7.8

you can read as well as I can’t 7.8

you can read as well as I can’t 7.8 points8 points the excuses are falling

points8 points the excuses are falling

points8 points the excuses are falling away over two years yeah and so people

away over two years yeah and so people

away over two years yeah and so people are getting more information they’re

are getting more information they’re

are getting more information they’re becoming more motivated and there’s one

becoming more motivated and there’s one

becoming more motivated and there’s one other really interesting finding here

other really interesting finding here

other really interesting finding here that we hadn’t hadn’t expected that’s

that we hadn’t hadn’t expected that’s

that we hadn’t hadn’t expected that’s this one it’s going the wrong way after

this one it’s going the wrong way after

this one it’s going the wrong way after two years

two years

two years yeah the top line is baseline the next

yeah the top line is baseline the next

yeah the top line is baseline the next line is two years later and look at that

line is two years later and look at that

line is two years later and look at that worst by six points and that’s lack of

worst by six points and that’s lack of

worst by six points and that’s lack of support at home so we thought about that

support at home so we thought about that

support at home so we thought about that for a while and we thought you know what

for a while and we thought you know what

for a while and we thought you know what that actually makes sense his dad’s at

that actually makes sense his dad’s at

that actually makes sense his dad’s at work and he’s getting some some

work and he’s getting some some

work and he’s getting some some information about health and he comes

information about health and he comes

information about health and he comes home and he says kids no macaroni cheese

home and he says kids no macaroni cheese

home and he says kids no macaroni cheese and hotdogs tonight we have a fish in a

and hotdogs tonight we have a fish in a

and hotdogs tonight we have a fish in a salad yeah you’re going to get pushed

salad yeah you’re going to get pushed

salad yeah you’re going to get pushed back at home yeah when you’re starting

back at home yeah when you’re starting

back at home yeah when you’re starting to change habits and so if we want

to change habits and so if we want

to change habits and so if we want workplace wellness programs to be

workplace wellness programs to be

workplace wellness programs to be successful when we implement them not

successful when we implement them not

successful when we implement them not only do we have to do all of the things

only do we have to do all of the things

only do we have to do all of the things that we know we need to do about any

that we know we need to do about any

that we know we need to do about any kind of a change then get management on

kind of a change then get management on

kind of a change then get management on board set up the processes make sure the

board set up the processes make sure the

board set up the processes make sure the structures right etc etc etc but we’ve

structures right etc etc etc but we’ve

structures right etc etc etc but we’ve got to make sure we help our employees

got to make sure we help our employees

got to make sure we help our employees understand how to deal with their

understand how to deal with their

understand how to deal with their families because what we want we really

families because what we want we really

families because what we want we really really want it want wellness to help the

really want it want wellness to help the

really want it want wellness to help the family help the employee we want to go

family help the employee we want to go

family help the employee we want to go back and feed into their families and

back and feed into their families and

back and feed into their families and into our communities if we can do that

into our communities if we can do that

into our communities if we can do that then we’re on to something my message

then we’re on to something my message

then we’re on to something my message today is that wellness works it’s good

today is that wellness works it’s good

today is that wellness works it’s good for people it’s good for business it’s

for people it’s good for business it’s

for people it’s good for business it’s good for our communities it’s good for

good for our communities it’s good for

good for our communities it’s good for our health budgets it’s good for

our health budgets it’s good for

our health budgets it’s good for population health it’s good for

population health it’s good for

population health it’s good for government this is win win wellness is

government this is win win wellness is

government this is win win wellness is an idea worth spreading

an idea worth spreading

an idea worth spreading [Applause]

”

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