Embed Size (px)
Citation preview
Ready to Move
Pre/ Post Cumulative Data
IUB & IUPUIUpdated 3.28.2016Updated 5.18.2016
Prevalence of Self-Reported Obesity Among U.S.
Adults by State and Territory, BRFSS, 2014
*Sample size <50 or the relative standard error (dividing the standard error by the prevalence) ≥ 30%.
Ready To Move 2013-2016
Goals
• Help students learn
• Help Healthy IU
evaluate the program
• Publish findings to
further knowledge
sharing in worksite
wellness literature
June 13, 2016
Marketing Changes Mattered
Current Marketing - 2016
IUB Fall 2013 through Spring 2016
IUPUI Fall 2014 through Spring 2016
Tracker used: Fitbit Flex
175 - Student coaches
227 Clients (193 Women and 34 Men)
IU Employee Rank:
132 – Staff Appointment/Professional
94- Academic Appointment/Faculty
RTM Program Evaluation
Process for pre/post surveys
• Healthy IU recruited employees to work with
students in a SPH academic class
• Employees given fitbit’s from Healthy IU
• Employees worked with students for 8 sessions
over a 10 week period as a part of their class
requirements
• Professors at IUB/IUPUI sent participants a
qualtrics survey pre/post to capture this data
General Health – Pre RTM program
BRFSS Question on Fairbanks survey: Would you say that in
general your health is:
Pre Survey % who stated good, very
good, or excellent
Fall 2013 96%
Spring 2014 93%
IUB Fall 2014 90%
IUPUI Fall 2014 95%
IUB Fall 2015 63%
IUPUI Fall 2015 86%
IUB Spring 2016 86%
IUPUI Spring 2016 95%
RTM overall average: 88%
Fairbanks 2013 average:89.7%
Fairbanks 2015 average: 89.3%
Note: RTM and Fairbanks Survey
averages were similar
Health History Information as
reported by participants
Health risk IUB & IUPUI IUB IUPUI
Arthritis 24% 12% 29%
Lower Back
Pain
59% 39% 26%
High BP 19% 18% 38%
Family history
Heart disease
23% 32% 42%
Diabetes
BG>100 mg/dl
6% 8% 5%
Note: perception of health is good to excellent yet RTM cohorts
reported having health issues. IUB/IUPUI self –reported health issues
are different
Technology information- learn
from you kids?
Technology Questions
1. Have you ever used a movement tracker device including
pedometers? 74.5% answered Yes
2. On a scale of 1 to 10 with 1 being high level of experience
and 10 no experience; how would you rate your overall
experience using technology devices?
High level
of
experience
1
2 3 4 5 6 7 8 9
No
experience
10
Average was 3.9 overall
Pre-Question: How do you envision your
tracking device helping you?
• Motivator/accountability: 77
• Feedback/awareness: 62
• Track progress: 47
• Increase activity/reminder to move: 35
• Set/meet goals: 32
• No expectations: 9
• Competitiveness: 2
Post Question: What did you like about
the device?
• Motivator/accountability: 25
• Awareness: 25
• Step tracking/activity patterns: 20
• Ease/convenience:18
• Social aspect/comradery: 17
• Sleep tracking: 15
• Personal data/feedback: 12
• Set/meet goals: 9
• Comfort/durability: 6
• Non-invasive: 3
Post Question: What frustrated you about the
activity tracker?
• Charging: 22
• Putting it on/forget to wear: 17
• Questions tracking accuracy/linking: 12
• Trouble syncing/other trouble shooting: 10
• Putting it in sleep mode: 10
• Not responsive without arm movements (shopping cart): 9
• No digital display: 5
• Too many components (sleep, activity, nutrition): 4
• Nutrition information: 3
Post - I would recommend my activity tracker to a friend
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 5 5 17 81 119 4.37
IUB 3 4 11 52 77 4.37
IUPUI 2 1 6 29 42 4.36
Post - My activity tracker will help me sustain a healthy lifestyle
once my coaching ends
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 5 5 14 90 113 4.35
IUB Fall 13 3 4 8 56 76 4.39
IUB Spr 14 2 1 6 34 37 4.29
What do you plan to do with your AT
now that the RTM program is over?
Question added - 2015
• Continue to wear daily: 65
• Use it to continue improving my goals: 37
• Note a doctoral dissertation is being done in 2017 on
all past participants to seek out what they did with
their trackers once the program ended.
June 13, 2016Customize footer: View menu/Header and Footer
Post intervention survey 8 months & 8 weeks –
Spring 2014 (IUB and IUPUI)
My activity tracker helped me sustain a healthy lifestyle once
my time with my student coach ended
Fall 2014 - 8 month f/u
(14/28) 50% response
rate
Spring 2014- 8 wks. f/u
(32/49) 65% response
rate
67% - yes 81% - yes
50% wear 7 days/wk.
Average for all: 4.75
days/week
69% wear 7 days/wk.
Average for all: 6.5
days/week
Have you shared you AT device
with anyone else?
F/U study coming soon……
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Family Friends Coworkers Other /NotSpecific
IUPUI/IUB2015 49% 39% 22% 22%
Have you shared your activity tracker experience with anyone else? If so, please explain:
IUPUI/IUB2015
Pre/Post Program Evaluation
2013-2016
RTM Program Evaluation
June 13, 2016Customize footer: View menu/Header and Footer
• Six semesters were analyzed
• Overall % for IUB/IUPUI was separated
• Overall average was given for each
question and separated by IUB/IUPUI
My readiness to make changes or improvements
to reach or sustain regular physical
activity/movement
TTM Stage IUB
Fa14
IUB
Sp15
IUPUI
Fa14
IUPUI
Sp15
IUB
Fa15
IUPUI
Fa15
IUB
Sp16
IUPUI
Sp16
Maintenance 29% 17% 24% 24% 13% 7% 14% 17%
Action 50% 49% 71% 44% 47% 50% 39% 50%
Preparation 11% *31% 5% *32% *40% *43% *43% *33%
Contemplation 11% 3% 0% 0% 0% 0% 4% 0%
*=marketing change made – attracted different population
Human Movement Paradigm
Carol Kennedy-Armbruster, PhD
• Planned, Intentional, Structured
• Frequency/Intensity/Time/Type/Volume/Progression/Pattern
• Typical Goals: Fitness, Performance, Aesthetics, Enhanced energy
• Established Guidelines [ACSM]
EX
• Skeletal Muscle Contraction = Energy Expenditure
• Types: Transportation, Leisure, Occupational, Domestic
• Sub-Types: Voluntary/Non-Voluntary; Spontaneous
• Established Guidelines [HHS – 150 minutes]
PA
• Sedentarism = “extended engagement in behaviors with minimal movement, low energy expenditure, and rest”
• Emerging Independent Health Risk Factor, “sitting disease”
• Not Physical Inactivity
SED
Physical Activity Importance
Rate the importance of physical activity to you 1 being not important and 10 being very important
June 13, 2016Customize footer: View menu/Header and Footer
IUB/IUPUI
Pre/Post
IUB Pre/Post IUPUI Pre/Post
7.9 to 8.6 7.8 to 8.47 8.0 to 8.78
Conclusion: program improved the importance of PA to participants
IUB started at a lower level of importance than IUPUI –both improved
My confidence in my ability to reach and
sustain regular physical activity/movementLowest =1 and Highest=10
Conclusion: marketing changes helped recruit participants with less confidence. Initially we
were getting participants at the 8-9 level; now we are in the low to mid-7’s
IU/IUPUI IUB IUPUI
Pre 7.27 7.07 7.47
Post 8.05 7.47 8.0
Presenteeism – What is it?
• Presenteeism or working while sick can
cause productivity loss, poor health,
exhaustion and workplace epidemics.
• While the contrasting subject of
absenteeism has historically received
extensive attention in the management
sciences, presenteeism has only
recently been studied.
How fatigued do you feel during a typical workday?
Pre/Post Extremely Very Somewhat Slightly Not at all
IUB 1.75 to 3 10.8 to 8.8 30.5 to 43.5 22 to 28.3 13.5 to 16.5
IUPUI 3 to 1.7 19 to 1.7 37 to 32.3 28.3 to
44.5
12.7 to 11
Conclusions: The extremes did not change much (extremely and not at all)
However; very, somewhat; slightly saw positive changes.
In a typical workday what percentage of the time are you
at various levels of energy?
School Pre/Best Post/Best Pre/Average Post/Average Pre/Low Post/Low
IUB 30% 36.4% 51.7% 43.9% 17.5% 16.6%
IUPUI 27.6% 30.1% 54.6% 40.8% 17.7% 16.%
Conclusion: Best energy increased; average energy decreased and low
energy decreased.
SittingTime
What amount of time do you spend sitting during the course of most days of
the week?% who stated approximately ¾ of the time or almost all of the time
Pre Post
Overall Average 82.3% 73%
IUB pre/post values IUPUI pre/post values
Pre = 80.5% Pre=85%
Post= 71.6% Post=75%
Conclusion: Both campus’s showed an improvement; IUPUI has higher initial
values of sitting time
Sitting At Work
When you are at work, which of the following best describes your work:% who stated mostly sitting
Pre Post
RTM Overall Average IUB/IUPUI
combined data
93.7% 92.2%
2013 Fairbanks survey = 83.7% mostly sitting
2015 Fairbanks survey = 82.2% mostly sitting
Conclusion: RTM attracting more “sitters” when compared to the Fairbanks data.
Overall we are NOT making a difference in sitting at work. Suggest policy changes be addressed.
Getting Up At WorkDuring a usual 8 hr. work day, about how many times are you able to get up and move around for
any reason, such as walking to a meeting room, the photocopier, the restroom...or just to stand up
and stretch? % who answered >5 times
Fairbanks data: 2013: 78.9%
Fairbanks data: 2015: 72.9%
Pre Survey Post Survey
IUB RTM Cumulative 68.3% 70%
IUPUI RTM Cumulative 76% 68%
Overall Cumulative
Average both campus’s70.5% 71.2%
Conclusion: After the RTM intervention employees did not move more at work;
This matches Fairbanks data which shows employees decreased their movement
at work from 2013-2015 also.
Questions on Social Support
How often do you get the social and emotional support you need?:
% who stated most of the time or always
Social Support
How supportive is Indiana University of your personal health?:Mean: 1=Extremely Unsupportive 10=Extremely Supportive
Pre-test Post-test
IUB/IUPUI 66.3 70.4
IUB 71.4 72.4
IUPUI 58.3 60
Pre-test Post-test
IUB/IUPUI 7.51 7.58
IUB 7.45 7.56
IUPUI 7.62 7.62
Management Support
In your workplace,
management considers
workplace health and safety
to be important% who stated agree or strongly agree
IUB = 70.4%
IUPUI = 60.3%
How supportive is IU of your
personal health?
1=Extremely unsupportive &
10=Extremely supportive
IUB = 7.6
IUPUI = 7.7
I met people I can continue walking with once my coaching ends
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 11 37 64 51 69 3.56
IUB Fall
136 20 43 35 46 3.65
IUB Spr
145 17 21 16 23 3.42
This experience improved my productivity at work
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 2 10 63 90 65 3.94
IUB 1 5 44 61 38 3.94
IUPUI 1 5 19 29 27 3.94
I believe engaging with students connects me better with IU
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 5 5 17 81 119 4.50
IUB 3 4 11 52 77 4.53
IUPUI 2 1 6 29 42 4.45
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 5 5 17 81 119 4.71
IUB 3 4 11 52 77 4.74
IUPUI 2 1 6 29 42 4.67
I would recommend my movement coach to someone else
The movement coach helped me develop an effective plan for my
health/fitness goals
Strongly
DisagreeDisagree Neutral Agree
Strongly
Agree
Mean
(out of 5)
1 2 3 4 5
IUB/IUPUI 3 4 9 73 139 4.47
IUB 2 2 6 51 88 4.50
IUPUI 1 2 3 22 51 4.47
The movement coach met my expectations
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 2 9 14 61 140 4.53
IUB 1 5 9 43 96 4.54
IUPUI 1 4 5 18 54 4.51
I received effective instruction from my coach on
how to use my activity tracker
Strongly
DisagreeDisagree Neutral Agree
Strongly
AgreeMean
1 2 3 4 5
IUB/IUPUI 6 6 29 60 72 4.1
IUB Fall 14 3 1 17 27 45 4.2
IUPUI Fall
143 5 12 33 27 3.95
Has the RTM program changed your views on
PA? Give an example.• Best quotes:
• “It changed my view in that it actually gave me a view...of the fact
I had little or no physical activity on non-workout days”
• “Yes! That is does not only mean going to the gym and
walking/running- activity can be accumulated by moving more.”
• “Gave me awareness of my activity level, and understanding of
how little movement I get throughout the day.”
• “Yes, I'm not as worried about trying to "work out" all the time. I
never could accomplish that. This is where I want to be but I see
now the best way for to get there is to first just get up and move.
Make it part of my normal lifestyle. That is the best way to make it
al lifestyle change and not just a temporary solution.”June 13, 2016
How was your day-to-day health influenced?
• Got more steps/activity: 92
• Increased awareness of activity and sleep: 73
• Setting/meeting goals: 30
• Get more/better sleep: 18
• Noticed difference in energy levels: 9
• Reminded/motivated to make healthy choices/changes: 3
What’s the number one take-a-way from your
participation in the RTM program?
• Best quotes:
• “I found that I was not as active as I previously thought. The devise
was proof of that. Being in this program and working with a
movement coach I learned to find ways to increase my activity
each day.”
• “People want me to succeed and make changes to be more
healthy and small changes and new habits others will help me get
there. My student health coach, coworkers, kids, sisters are
encouragers when I share with them what I want to do.”
• “That even a 5-10 minute break to walk can drastically improve
your health and ability to keep working.”
• “I need to make me a priority and make sure I find time throughout
my work day to walk.June 13, 2016
Research publications/AbstractsArticles:
• Hoffman, L. and Kennedy-Armbruster (2015). Case Study Using Best Practice Design Principles
for Worksite Wellness Program, ACSM Health and Fitness Journal, April/May 30-35.
• Kiessling, B. & Kennedy-Armbruster, C. (in press nov/dec 2016 release): Move more, sit less, &
be well; Behavioral Aspects of Activity trackers, ACSM Health and Fitness Journal.
Abstracts:
• Kennedy-Armbruster, C., Kiessling, P., Barrick, K., Hollingsworth, P. (2015). Sitting time and
physical activity (PA) importance following a 10-week worksite coaching intervention utilizing
activity trackers. Research poster presentation: Building Healthy Academic Communities 2nd
National Summit, Irvine, CA.
• Kennedy-Armbruster, C., Kiessling, P., Barrick, K., & Elmes, D. (2015). Sitting time and physical
activity (PA) importance rating following a 10-week worksite coaching intervention utilizing activity
trackers. Case study poster presented at the International Association for Worksite Health
Promotion (IAWHP) Executive Summit on Worksite Health Promotion, Phoenix, AZ.
• Kennedy-Armbruster, C, Hoffman, L., & Hollingsworth, P. (2014). Impact of the utilization of
activity trackers and student coaches to enhance health and wellness within a worksite wellness
program at a large Midwestern University. Poster session presented at the International
Association for Worksite Health Promotion (IAWHP) Executive Summit on Worksite Health
Promotion, Atlanta, Georgia.
