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Getting started … on a workplace weight management programme. Dr Koh Yang Huang Manager, Workplace Health Promotion. Heath indicator. 1992. 1998. 1998. Diabetes. 8.2%. 9.0%. 8.6%. HPT. 21.5%. 16.1%. 20.1%. High TC. 19.4%. 25.4%. 18.7%. Exercise. 13.6%. 16.8%. 24.9%.

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getting started on a workplace weight management programme

Getting started… on a workplace weight management programme

Dr Koh Yang Huang

Manager, Workplace Health Promotion

national health survey singapore

Heath indicator

1992

1998

1998

Diabetes

8.2%

9.0%

8.6%

HPT

21.5%

16.1%

20.1%

High TC

19.4%

25.4%

18.7%

Exercise

13.6%

16.8%

24.9%

Obese

6.0%

5.1%

6.9%

Smoke

12.6%

15.2%

18.3%

National Health Survey, Singapore

Source: MOH

Among Singapore residents aged 18-69 years

slide3

Leading Causes of Death

Source: Ministry of Health Annual Report 2002

american journal of health promotion 2001 16 2 107 116

A Review and Analysis of the Clinical and Cost-effectiveness Studies of Comprehensive Health Promotion and Disease Management Programs at Worksite: 1998 -2000 Update by Kenneth Pelletier

American Journal of Health Promotion 2001; 16(2):107-116

slide6

Workplace Health Promotion is a …

processofenablingpeople to increasecontrolover and to improve their health within a workplace setting.

 Ottawa Charter

World Health Organisation

1986

slide7

Health is a …

state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.

 Declaration of Alma Ata, 1978

slide9

Secure support

1. Set up committee

2. Assess needs

3. Write goals & objectives

4. Select interventions

5. Market and Implement

6. Evaluate

1 set up a good committee
1. Set up a good committee
  • Influential leadership
  • Clear chain of command
  • Representative
  • 5-7 members
  • Trained staff
  • Recognition
  • Opportunity for growth
  • Integrated
2 assess needs
2. Assess needs

Identify what is important to staff when designing workplace health programme

Understand different spectrum of needs, expectations, etc

Set the right priorities

what data to collect
Employee:

Demographics

Health status

Health risk factors

Fitness status

Health practices

Staff satisfaction

Interests/preferences

Mental health status

Readiness to change

Significant others

Organisational:

Medical care costs

Absenteeism

Staff turnover

Physical environment:

Cooking facilities

Water coolers

Sports and recreation facilities

What Data to Collect?
how to collect data
How to Collect Data?
  • Observation
  • Verbal feedback
  • Existing data
  • Survey
  • Health screening
  • Focus group discussion
determine priorities
Determine priorities
  • Criteria:
    • How big is the problem
    • Is it serious
    • Are there solutions
    • Are solutions acceptable
    • Do we’ve the resources
3 write goals and objectives
3. Write goals and objectives

Specific

Measurable

Action-oriented

Realistic

Time-bound

example by dec 05
Example: By Dec 05

Short to medium term objectives

  • 40% staff participate in > 1 Wt Mgt Activity
  • 50% of staff with BMI>25 attend Wt Mgt Class
  • 15% of Wt Mgt Class attendees achieve wt loss goals
  • Revise canteen menu
  • Replace palm oil with canola oil
  • Use HPB’s list of approved caterers with immediate effect
example by dec 2007
Example: By Dec 2007
  • Proportion of staff with “moderate to high risk BMI” falls from 40% (’05) to 35%
  • Proportion of staff with HPT falls from 22% (’05) to 19%
  • Average healthcare bills falls from $89/staff/year (’05) to $82/staff/year

Long term objectives

4 select interventions
4. Select interventions
  • Include Mass and Targeted
  • Range of topics - healthy eating, diet & diseases, psychosocial cues to eating, physical activity, stress mgt, high blood pressure, dining out, reading food labels
  • Balanced across 3 components – organisational policies, supportive environment, lifestyle & personal health skills
exercise programmes for small companies
Exercise programmes for small companies
  • Offer gym membership
  • Protected time to exercise
  • Longer lunch breaks
  • Aerobics Mile Programme
  • Stair climbing
s i m p l e checklist
S.I.M.P.L.E. Checklist
  • Specific to needs
  • Innovative
  • Manageable
  • People-oriented
  • Lasting
  • Evidence-based
5 market programme
5. Market programme

… telling them

choose popular channels
Letters and memos

Banners

Staff Notice Board

Staff meetings

E-mail

Pop-up e-posters

Signages near

queues in canteen

Payslips

Inhouse newsletters

T-shirts, balloons, message buttons

Videos

Brochures

Feedback boxes

Personal persuasion

Choose popular channels
branding
Branding

establish

engage

BP’s Best Practices

5e Ways

enjoy

easy

excite

Investing in healthy employees

enjoyable
Enjoyable

Enjoy

Diverse Activities (variety)

Encourage Team Work (team spirit)

“Friend-get-friend” effect

chinese new year countdown

Exciting

Chinese New Year Countdown
  • New year resolutions
  • Customised fortune cookies with health messages
  • Healthy wok demonstration – low fat recipes
  • Exercise activities – tai chi, martial arts

Publicise Creatively

easy to participate
Easy to Participate

Minimal disruption to work

  • Step Out Challenge BPS
  • Staff carries a pedometer – and it tracks the number of steps walked.
  • No intervention required
  • More than 50% of staff participated
  • Interactive website maps out distance travelled
time your activities
Time your activities
  • Avoid peak periods
  • Ride on campaigns or topical concerns
  • Integrate with on-going activities
easy to say yes
Easy to Say YES

Offer plenty of support

  • Early time-off for WHP activities
  • Provided transport where necessary
  • Provided meals where possible
6 evaluate programme
6. Evaluate programme
  • Know the object(s) of your evaluation
  • Evaluate against your goals & objectives
  • Ongoing
slide30

IMPLEMENT

PLAN

SUSTAIN

EVALUATE

slide31

It must be sufficiently long:

3-6 mths to reduce personal risks;

3-5 years to demonstrate cost-effectiveness

  • E’yees need to perceive that mgt has positive attitudes toward health

Kenneth Pelletier “Review & analysis of clinical & cost-effectiveness studies, Am J of Health Promotion 2001; 16(2):107-116

slide33

Projects eligible for funding:

  • Consultancy services
  • Training
  • Health risk assessment
  • Health education activities
  • Health facilities & equipment
  • Incentive scheme

WHP Grant – up to $10,000

  • To incentivise companies
  • $5,000 to $10,000 matching grant
slide34

HealthPROTM Eat for Health

  • Encourage healthy eating habits
  • Highlights:
    • Health corners
    • Healthy catering policy
    • Fruit and vegetables bazaar
    • Outdoor physical activity
    • Experiential learning
slide35

E-Bytes

  • E-mailed worksite nutrition intervention to promote healthier dietary practices
  • Features:
    • Online dietary survey
    • Immediate personal feedback
    • Company report
    • Bite-sized dietary tips twice weekly X4 wks

Hpb_nutrition_dept@hpb.gov.sg

slide36

Healthy Catering @ Work

  • Encourage workplaces to provide healthier food options in:
    • Cafeteria
    • Corporate functions/receptions
  • Conduct culinary skills workshop for food vendors
  • Conduct seminars for canteen reps
  • HPB’s list of approved caterers http://www.hpb.gov.sg/hpb/default.asp?pg_id=1390
slide37

Infrastructure Support

  • Training
  • Resources
    • Directory of service providers
    • Best practices
    • Health Information Centre

http://www.hpb.gov.sg/healthatwork