What Your Wellness Programs Aren't Telling You

What Your Wellness Programs Aren't Telling You

Dan WittersGallup

1. Public Opinion and Well-Being

2. U.S. Employers and Well-Being Programs

3. The New Well-Being 5 (Well-Being Index 2014)

4. Three Classifications of Well-Being: Thriving, Struggling, and Suffering

5. Physical Well-Being vs. Well-Being Across All 5 Elements

• Among adults: Adaptability, Resiliency, Charitable Giving, and Volunteerism

• Among workers: Workers’ Compensation Claims, Likelihood to Leave, and Absenteeism

6. Partial Well-Being vs. Full Well-being

• Disease Burden and Turnover

Today’s Topics

1. Gallup’s Panel of Households

• Over 50,000 recruited, non-paid Panelists nationwide

• Data weighted to Census Bureau statistics

• Typically 15,000-25,000 respondents per sample

• Allows longitudinal measurement

2. Gallup-Healthways Well-Being Index

• N=500 randomly selected American adults nightly

• English/Spanish; Landline/Cell

• Data weighted to Census Bureau statistics

3. The Gallup Poll

A Quick Note on the Data Sources

Americans' Concerns About Obesity Soar, Surpass Smoking

Results for this Gallup poll are based on telephone interviews conducted July 9-12, 2012, with a random sample of 1,014 adults, aged 18 and older, living in all 50 U.S. states and the District of Columbia.

Physical Well-Being Ranked as Most Important by American Adults

52.0%47.0%

35.0%27.0%

11.0%

0%

10%

20%

30%

40%

50%

60%

Physical Social Financial Purpose Community

"Now, please think about your overall life, and what ismost important to you. You have 100 total points to assignto each of the following five areas of your life, dependingon how important each is to you."

Study of 21,556 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics)

51%0.49

Employer Participation in WellNess Programs

Wellness Program

No Wellness program

*RAND Health: Workplace Wellness Programs Study 2012

Half of U.S. Employers Execute Some Form of Wellness Programs

The Overwhelming Majority of Employer Well-Being Programs Only Address Physical Wellness

2%

23%

21%

18%

15%

11%

7%

4%

Stress Management HRAs Weight Management

Nutrition Screenings Fitness Services

Smoking Cessation Other Services

*RAND Health: Workplace Wellness Programs Study 2012

Is physical wellness really all we should be concerning ourselves with?

The Gallup-Healthways Well-Being Index: Two Million Interviews with U.S. Adults and Counting Since 2008

WBI 2008-2013:Life Evaluation: Ranking one’s life today and in the future

Emotional Health: Daily feelings; Clinical depression

Physical Health: Chronic conditions, obesity, physical pain, cold/flu

Healthy Behaviors: Smoking, healthy eating, exercise

Work Environment: Using strengths, supervisor relationships

Basic Access: Healthcare, community satisfaction, money for basics

Well-Being 5 (WBI 2014):Purpose: Liking what you do each day and being motivated to achieve your goals.

Social: Having supportive relationships and love in your life.

Financial: Managing your economic life to reduce stress and increase security.

Physical: Having good health and enough energy to get things done daily.

Community: Liking where you live, feeling safe and having pride in your community.

Overall/Outcomes: Life Evaluation and Daily Affect

Well-Being in the U.S.: Thriving, Struggling, and Suffering

Gallup-Healthways Well-Being Index: Results are based on telephone interviews conducted February 1-28, 2014 with a random sample of 13,156 adults, aged 18 and older, living in all 50 U.S. states and the District of Columbia.

Purpose Social Financial Physical Community0%

20%

40%

60%

80%

100%

15% 16% 24%12% 16%

49% 44%37% 57% 48%

36% 40% 39% 31% 37%

Thriving

Struggling

Suffering

One-Fourth of U.S. Adults are Not Thriving in Any Element; Less than 1 in 12 are Thriving Across All Five Elements

28.5%

21.6%17.3%

13.8% 11.5%7.3%

0%

10%

20%

30%

Thriving in0 Elements

Thriving in1 Element

Thriving in2 Elements

Thriving in3 Elements

Thriving in4 Elements

Thriving in5 Elements

Percent of U.S. Adults Thriving in 0-5 Elements

Study of 21,556 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics), Dec. 2013

4.3% are Thriving in Physical only

Adults Thriving in all Five Elements Are 36% More Likely to Report Full Recovery After Hardship Than Those Thriving in Physical Only

Thriving in Physical Only(n=680)

Thriving in All 5 Elements (n=1,783)

51.5%

70.1%

“Thinking generally, are you always, usually, sometimes, rarely, or never able to bounce back fully after illness, in-

jury, or hardship?”(% Always)

Study of 16,373 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics); December 2013Controlling for Age, Gender, Income, Education, Region, and Marital Status

Adults Thriving in all Five Elements Are 2x More Likely to Exhibit Adaptability Than Those Thriving in Physical Only

Thriving in Physical Only(n=680)

Thriving in All 5 Elements (n=1,783)

16.4%

35.9%

“Thinking generally, are you always, usually, sometimes, rarely, or never able to adapt well to change?”

(% Always)

Study of 16,373 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics); December 2013Controlling for Age, Gender, Income, Education, Region, and Marital Status

Adults Thriving in all Five Elements Are 23% More Likely to Have Donated to Charity Than Those Thriving in Physical Only

Thriving in Physical Only(n=680)

Thriving in All 5 Elements (n=1,783)

72.1%

89.0%

“Have you donated money to charity in the last 12 months?” (% Yes)

Study of 16,373 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics); December 2013Controlling for Age, Gender, Income, Education, Region, and Marital Status

Adults Thriving in all Five Elements Are 43% More Likely to Have Volunteered in Last Year Than Those Thriving in Physical Only

Thriving in Physical Only(n=680)

Thriving in All 5 Elements (n=1,783)

49.3%

70.7%

“Have you volunteered your time to an organization in the last 12 months?” (% Yes)

Study of 16,373 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics); December 2013Controlling for Age, Gender, Income, Education, Region, and Marital Status

Employees Thriving in Physical Alone Missed 68% More Work Due to Poor Health in Last Year Than Those Thriving Across All 5 Elements

This estimates to $443k in lost productivity per year per 1,000 employees

Thriving in Physical Only(n=680)

Thriving in All 5 Elements (n=1,783)

1.9

3.2

“During the past 30 days, for about how many days did poor health keep you from doing your usual activities?”

Study of 16,373 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics); December 2013Controlling for Age, Gender, Income, Education, Region, and Marital StatusUnhealthy Days converts to .331 missed work days, assuming 21% part time workers

Thriving in All 5 Elements (N=839)

Thriving in Physical Only(N=380)

Employees Thriving in all Five Elements Are One Third as Likely to Have Filed a Workers’ Compensation Claim in Last Year

Thriving in Physical Only(n=680)

Thriving in All 5 Elements (n=1,783)

1.4%

0.5%

“In the last 12 months, were you involved in any accident while at work where you had to file for compensation/

claim?” (% Yes)

Study of 16,373 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics); December 2013Controlling for Age, Gender, Income, Education, Region, and Marital Status

Thriving in Physical Only(N=380)

Thriving in All 5 Elements (N=839)

Employees Thriving in all Five Elements Are One Fifth as Likely to Seek Out New Employer in the Next 12 Months

Study of 16,373 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics); Dec. 2013Controlling for Age, Gender, Income, Education, Region, and Marital Status

Thriving in Physical Only(n=680)

Thriving in All 5 Elements (n=1,783)

39.2%

7.3%

“If the job market improves in the next 12 months, I will look for a job with a different organization.” (% Yes)

Thriving in All 5 Elements (N=839)

Thriving in Physical Only(N=380)

Employees Thriving in Multiple Elements Have Substantially Lower Health-Related Costs via Disease Burden One Year Later

None One Two Three Four Five$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$4,966$4,264

$3,956$3,578 $3,421 $3,177$3,430

$2,534$2,098

$1,708$1,440

$1,136

$5,545$4,974

$4,633$4,305

$4,089$3,713

Total Major Disease Burden Cost One Year Later

Total Age < 45 Age 45+

Number of Elements Thriving at Baseline

Longitudinal sample of approximately 11,500 Gallup U.S. Panel Members (5,500 employed)Controlling for Age, Gender, Income, Education, Region, and Marital Status

Employees Thriving in Multiple Elements Have Lower Health-Related Costs via New Onset Disease Burden One Year Later

None One Two Three Four Five$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$2,419$2,130 $1,992 $1,817 $1,731

$1,617$1,791$1,485

$1,314$1,121 $1,002 $853

$2,656$2,395

$2,239$2,088

$1,978$1,817

New Onset Disease Burden Cost One Year Later

Total Age < 45 Age 45+

Number of Elements Thriving at Baseline

Longitudinal sample of approximately 11,500 Gallup U.S. Panel Members (5,500 employed)Controlling for Age, Gender, Income, Education, Region, and Marital Status

Employees Thriving in Multiple Elements Have Substantially Lower Turnover One Year Later Than Those Thriving in No Elements

None One Two Three Four Five0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

4.4%3.8% 3.3% 2.9%

2.5% 1.9%

6.0%5.3%

4.9% 4.6%4.2% 3.8%

3.8%3.1%

2.7% 2.3%2.0%

1.4%

Turnover (Switched Jobs) Within Next 12 Months

Total Age < 45 Age 45+

Number of Elements Thriving at Baseline

Longitudinal sample of approximately 11,500 Gallup U.S. Panel Members (5,500 employed)Controlling for Age, Gender, Income, Education, Region, and Marital Status

1. Strong, sustained voice from leadership

2. Shared and consistent definition of what is meant by “well-being”

3. Lead by example – set the agenda, use bully pulpit

4. Employees/Residents must sense that leadership authentically cares about their well-being

5. Establish and execute programs that hit all five Elements of well-being, not just physical wellness

6. Scientifically evaluate the effectiveness of programs as a function of change of well-being over time among employees/residents

Guiding Principles of Successful Well-Being Intervention Programs

Dan WittersResearch Director, Gallup-Healthways Well-Being Index

GallupOmaha, NE USA402.938.6457

dan_witters@gallup.com

To stay up to date on our well-being discoveries, visit:http://www.healthways.com

andhttp://www.gallup.com/poll/wellbeing

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