Work health
Integrating workplace safety, health and wellbeing
- Innovative projects summary
Roslyn Miller
Senior Advisor, Healthy Workers Initiative
Workplace Health and Safety Queensland
Healthy Workers Initiative - Qld
• Workplace Health and Safety Queensland funded by Department of
Health under Healthier.Happier.Workplaces program*, expires
December 2015.
• Smoking, Nutrition, Alcohol, Physical Activity, Obesity + Mental Health
(SNAPOM)
• All industry
– targeted initiatives for priority industries in Construction, Transport,
Manufacturing, Mining, Agriculture, Public Service and Small Business
*Initially funded under National Partnership Agreement on Preventive Health 2011-2015
Workplace Health and Safety Queensland
Healthy Workers Initiative
OUR AIM IS TO REDUCE CHRONIC DISEASE RISK FACTORS BY:
ALCOHOL
SMOKING
HEALTHY EATING
THE STORY SO
FAR…
2,597
OBESITY
PHYSICAL ACTIVITY
MENTAL HEALTH
66,270
Workplaces
Workers
A Queensland Government initiative
June 2011 to
September
2015
3 Grant Rounds
101 Recipients
49,000
83
758 organisations
1331
attendees
952 organisations
1918
attendees
Professional
Development Forums
22
Leadership Forums
8 Research Initiatives
In Transport, Construction
& Agriculture Industries
plus workers
$2,280,000
Invested
Funded by the
Queensland Government
under
Healthier.
Happier.
Workplaces
What Queenslanders really look like……
Obesity
65% of adults are overweight or obese.
 22% in 4 years & is the highest in Australia
Type 2 Diabetes
1 in 12 Queenslanders has type 2 diabetes
1 undiagnosed case for every 4 diagnosed.
414,000
businesses
1,243,500
workers
Cancer
1/3 of the total burden of cancer was due to preventable risk
factors - tobacco, physical activity, obesity & alcohol the
largest causes.
Mental Health
1 in 2 adults reported a mental health disorder in
their lifetime. 1 in 5 in the last 12 months
Queensland Health. The health of
Queenslanders 2014. 5th report of the
Chief Health Officer Queensland.
Benefits of H&W Programs
Likelihood of return to work following a
physical injury:
20 days – 70% of returning
45 days – 50% of returning
70 days – 35% of returning
Injury risk is 13% higher for obese
or overweight workers compared
to healthy weight workers. 3
Workers with 2 or more chronic illnesses have 2 ½ times longer sickness
absences than healthy workers (9.3 days vs 3.7days) 2
Workers who smoke have a 38% higher risk of work-related injury than those
who never smoked. 3
Workers who are overweight/obese miss more than
twice as many workdays for work-related injuries
compared to workers of a healthy weight.1
1.
Van Nuys, K., Globe, D., Ng-Mak, D.,
Cheung, H., Sullivan, J & Goldman, D.
(2014)
2.
Casimirri, E. et al (2014)
3.
Dong, Z.S. Wantg, Z. & Largay, J.A. (2015)
7.4 days vs 3.3 days
4.
Recognising the Health Benefits of Work
The Case for Intergration
Work related factors
(e.g. work demands, working hours)
Personal
factors
(e.g.
lifestyle
habits,
socioeconomic
status)
Health
behaviours
Health
outcomes
WHS
performance
(e.g.
smoking,
nutrition)
(e.g. obesity,
diabetes)
(e.g.
incidents,
work comp)
Business outcomes
(e.g. increase productivity, increased morale,
decreased injuries)
A modern regulator approach
PRIMARY
INTERVENTION
Prevention
Risk Management
Healthy Worker Initiative - Chronic Disease
IPAM Program – WHS improvement
People at Work – Psychosocial
PerFORM – Musculoskeletal
SECONDARY
INTERVENTION
TERTIARY
INTERVENTION
Responding to
early indicators
of absence,
injury and illness
-Injury
management
-Rehabilitation
-Return-to-Work
-Complaint work
Barriers to overcome…..
Privacy
Cost
“Nice to have”
Targets Individuals
Silo Approach
Adhoc
Not Legislative
“Not our problem”
mindset
Evaluation
Time
Healthy Worker framework – Building
Sustainable Workplace programs
Management
Commitment
Evaluation
Action Plan
Wellness
Planning
Needs
Assessment
Innovation grants
Project
Live Well Farm Well
Healthy work – healthy you video resources
Train the champion – sedentary project
Turf growers accreditation
ESSA professional development points
Shift work & nutrition resource
Nutrition standards for work camps
Electrical industry resource development
Mental health and wellbeing pilot
Shifting Gears - Transport
Innovative Research Project
Shifting Gears – Transport
•
•
•
•
•
•
Linfox & Toll NQX
44 drivers – 34 local, 10 long haul
Average Age – 47 (local) 46 (long haul)
20 Week active living and healthy diet program
Jawbone device used to self monitor
Incentive scheme to encourage engagement
Innovative Research Project
13 drivers reached Gear shift 3 (50 points)
4 drivers reached Gear shift 6 (200 points)
Innovative Research Project Outcomes
Sitting Time:
During Shift Movement
During Shift Stationary
Time spent driving or
standing
Local
Delivery
1.2 hours
2 hours
7.8 hours
Long Haul
.6 hours
1 hour
Local move more during shift
Local sit/lie more during shift
10.2 hours 2.5 hours higher for Long Haul
• Based on a 24-hour monitoring period, drivers spent
22.3 hours not moving (this includes sleep time) on both work and
non-workdays.
• Drivers averaged over an hour less sleep on workdays compared to
non-workdays (5.1 hours verses 6.3 hours).
Innovative Research Project Outcomes
Quantitative Changes:
 sitting by 2.4 hours/day (Long haul drivers )
 5% reduction in sedentary time during shifts over the
program (approx. 40min decrease)
 Systolic blood pressure & waist circumference measures
 Average steps/day - +337steps/day (8994 total)
 24% choosing healthier options & less saturated fat
Innovative Research Project Outcomes
Qualitative Changes:
• At the individual level – healthy
choices more often
• Increased self-awareness of good
choices
• virtual connection with health
experts and other drivers
• Most healthy changes were still
evident at two months follow-up.
Innovative Research Project Outcomes
What the drivers & managers said:
One of the guys told me the band is the best thing that happened to him because it shows
him what he had done in the day. Manager
It was brilliant. It motivated me to move
as much as possible. It made me more
mindful about the sleep as well. Long
Haul Driver (casual)
Monitoring the steps is easier, you just wear
the band. The diet is a bit harder and I tried to
improve one little step at a time. Local Delivery
Driver (casual)
I liked it because I could see how many steps I did in the day. I had some problems with the
band and I had to drop out for a while. I’d cut down on what I was eating and stuff and I just
stayed with what I was doing with the band. Local Delivery Driver (casual)
Innovative Research Project Outcomes
Future Recommendations:
- Management and Union Support
- Use smartphones and incentives
- Use Champions
- Multi-pronged health approach
- Environmental & organisational
changes e.g. fridges and cooking
equipment
- Further Research
This type of program is what we need for truck drivers. All trucking companies
should take a look at their drivers and try to enhance their health and fitness to
give a better performance. Local Delivery Driver (casual)
Healthy Work . Healthy You. Oil & Gas
Mental Health and Wellbeing pilot
+
Independent Schools Queensland
• 10 Independent Schools
Manufacturing
• 6 participants
Transport
• 7 Participants
Work-related stress framework
HIGH JOB DEMANDS
LOW JOB RESOURCES
1. Demand: role overload,
cognitive demand,
emotional demand
4. Control
2. Role conflict and role
ambiguity
5. Support: supervisor
and co-worker support
6. Change consultation
3. Relationships: group task
conflict, group relationship
conflict, bullying
7. Recognition and reward
8. Procedural justice
Work-related Stress
Psychological
Injury/Illness
Physical
Illness
Poor health
behaviours
Healthy Worker framework
Management
Commitment
Evaluation
Environment &
Individual
Objectives &
Strategies
Action Plan
Wellness
Planning
Needs
Assessment
Healthy People
Survey
The process
Info day
Project aims
Resources
Communication
strategies
Engage
with staff
Survey
conducted
Individual
report
Staff complete
online
Except if less
than 20 staff
Baseline survey
Debrief / 1 hr
feedback
consultation
Evaluation
Planning
day
Risk factors &
how to
control
ACTION
PLAN
feedback if
required
Implementation
of strategies in
action plan
Consultation offer
Focus groups
Workplace
consultation
Key Learnings
• Systems based approach – “the way we do business”
• Focus on business outcomes and work related factors
• Develop a committee, identify champions to share the load
• Sustainability requires a mix of strategies (environmental & individual)
• Provide education, awareness and capacity building
• Start small and build up
• Promote the successes, big and small
Organisational Systems Benchmarking Tool
Key Features:
 Re-released in June 2015 with 32+ used the tool of
which 50% all three systems
 3118 Registered users
 Online self assessment for Workplace Health &
Safety, Work Health & Wellbeing, Rehabilitation
& Return to Work
 Benchmarks against other organisations of
similar size & industry
 Integrated systems based approach
 Choice to complete 1, 2 or all 3
 A comprehensive summary report
 Comparison over time
 Free & confidential.
Go to www.worksafe.qld.gov.au
For more information
• WHSQ Work Health website
www.worksafe.qld.gov.au
• Healthier.Happier. Workplaces
http://workplaces.healthier.qld.gov.au/