This week we would like to spotlight Healthy & Fit on the Go, a program designed to inspire behavior change by providing tips and tools for self-care, healthy eating and physical activity for University of Minnesota Extension staff.

The Program Basics

Healthy & Fit on the Go is a program designed to inspire behavior change by providing tips and tools for self-care, healthy eating and physical activity for Extension staff who spend a great deal of their work day in the car. The Physical Activity Guidelines are used as the basis for materials development. A review of the research in behavior change, nutrition and physical activity resulted in this series of 10 how-to tip cards packaged in a take-along kit with a lunch bag, water bottle and exercise band.

This program is designed as a worksite wellness initiative; a pilot was conducted with staff that included an education session featuring the materials in the kit: an insulated lunch bag with re-freezable ice pack, a medium-resistance exercise band, a BPA-free water bottle and 4 how-to tip cards for healthy eating choices and physical activity ideas.

Components of the kit were distributed and demonstrated at the Annual Conference of Extension Educators during October 2010.

Measuring Success

Betsy Johnson and her colleagues conduct end-of-conference surveys at the close of each annual conference where distribution, education and demonstration occur. In addition, kit-specific online surveys are sent at 3-month and 6-month intervals following the conferences. Online surveys include a request for input regarding the usefulness of the kit contents as well as suggestions for tip card topics.

Initial results indicated a strong motivation for changing behavior upon receipt of the portable kit with actual changes exceeding 40 percent for recipients after the first year.

Challenges

Johnson mentioned three main challenges for the program:

• Institutionalization: “It was relatively easy the first year to ensure all staff received the kit and participated in the education/demonstration. In years 2 and 3 we are experiencing some issues around distribution and education to new staff as well as distributing and educating staff about new tip cards.”

• Individual motivation: “Kit recipients are motivated to use the materials immediately following the conference as evidenced in post-conference surveys. But motivation decreases as time passes. The 3-month and 6-month surveys indicate less actual use/behavior change the further away from the conference. But, each survey does serve as a reminder about the kit and some become motivated by that reminder.”

• Cost: “As we expand to the staff in more program areas within Extension (and are faced with state budget crises) we are testing components of the kit for usefulness and cost-effectiveness as a way to motivate behavior change at a lower cost.”

Implementing a Similar Program in Your Community

Try using the following suggestions when implementing a program like this in your community:

As we’ve heard with other programs, get leadership buy-in. With upper management support for the effort, it will more likely be integrated into the planning for a conference or program; without that support, all expense and effort could be wasted.

Develop a systematic reminder system to maintain the motivation for behavior change that follows the education sessions.

Respond to suggestions for improvements, changes or additional tips and materials; it must be relevant to the user or it won’t be used.

If materials and education are distributed once a year at a conference, plan for 3-5 years worth of new materials to keep it fresh and to create the expectation that this wellness program is part of the conference culture.

This week we would like to spotlight the Arkansas State University – Beebe Wellness Program, a recently developed wellness program struggling through the difficulties associated with building a successful program with limited resources.

The Program Basics

The Arkansas State University – Beebe Wellness Program (ASUB Wellness) is entering its second year of existence.  Upon initiation of the program, they received a copy of the Physical Activity Guidelines for Americans Toolkit.  Since then, they have followed many of the guidelines in their programs and especially in wellness coaching sessions with individual employees. They have established an incentive program entitled “Step by Step” focusing on walking and “Walking Wednesdays” to promote physical activity. Be Active Your Way materials are freely distributed to the employees who show interest in physical activity. 

As Congress wrestles with complex, contentious issues of health care reform, I’d like to propose a step anyone can take to improve health and likely cut health care costs. This isn’t a legislative bombshell—I’ll leave that for the politicians. And it isn’t a new idea, though research keeps adding to the body of supporting evidence. Let me help you make the case for physical activity.

It’s not about exercising for weight loss, though most people know there’s a connection. Simply put, I’m advocating physical activity for health. Exercise repeatedly has been shown to help prevent chronic diseases such as diabetes, overweight and obesity, osteoporosis, coronary heart disease, hypertension, depression and anxiety, and even some forms of cancer. Surely, if there were a pill with all these benefits (along with some very pleasant side effects), everybody would ask to have it prescribed.

Truly, exercise IS medicine, and it’s readily available to everyone. Very little is required to get started: a pair of walking shoes, or maybe a jump-rope. Playing with your children is free of charge. (I highly recommend it, and I don’t even know your kids.) People of any physical condition can become more active and start feeling better. No prescription is needed, though more and more physicians are calling for specific doses of exercise for their patients.

On the job and active

Employers, squeezed ‘til it hurts by soaring costs, have found that it pays to encourage employees to be physically active. Published reports on workplace wellness programs show that cost savings for every dollar invested range from $2.90 (Prudential Insurance) to $5.96 (Bank of America). DuPont reported a 14-percent decline in absent days among blue-collar workers. Pacific Bell’s FitWorks program saved $2 million and $4.7 million in short-term disability costs in just one year.

Workplace wellness programs bring other benefits, too. Fit Swedish workers committed 27 percent fewer errors on tasks involving concentration and short-term memory, and a Canadian program found that 47 percent of employee wellness program participants felt more alert, had better rapport with co-workers, and generally enjoyed their work more.

Bottom line

Sure, it’s great to save those dollars—particularly nowadays—but the total benefits are incalculable. What price can you put on feeling better, living longer, or avoiding a debilitating illness? Think about ramping up your level of physical activity, and bring someone along with you. If you need help getting started, you’ll find plenty of resources on the Exercise is Medicine website.

It may take Congress a while yet to figure out health care reform. Meanwhile, I vote for healthy lifestyles as prevention. All in favor? Please share your organization’s perspectives on exercise as medicine.

What is your organization's perspective and involvement in the topic of exercise as prevention?