By Jim Harter, Gallup Chief Scientist for Workplace and Wellbeing
TEDMED recently held its annual conference in Washington, D.C., featuring a wide range of impressive presentations on the future of health and medicine, ranging from innovative early detection to biochemistry and the bioengineering of genes.
Throughout the conference, the TEDMED community voted on the greatest challenges for the near-term in health and medicine across 51 important topics. It was striking to me that of all the important challenges for health and medicine, the one that got the most votes was “Inventing Wellness Programs that Work.”
Wellness programs have been around for decades, but the TEDMED vote reflects an admission that most wellness improvement programs aren’t working. Further, it is most likely a reaction to the $2.5 trillion in U.S. healthcare costs, the country’s single biggest national expense. About two-thirds of these costs are preventable, as they are due to unnecessarily high levels of obesity and other disease burdens. But this problem won’t be solved by taking an isolated look at health.
Any effort to fix this problem will likely fail unless health and medical professionals develop or adopt research and practice that integrates multiple fields, including the workplace, psychology, economics, and sociology. The science and practice of “wellbeing” is beginning to replace “wellness,” because wellbeing includes overlapping disciplines, which give us the greatest chance for lasting change. “Wellbeing” includes all the things that are important to how we think about and experience our lives.
We have all experienced, whether personally or through someone you know, reading a book or starting a health program with the best of intentions. We start them, make a commitment, and see some progress. Then, once we meet our goal -- if we make it that far -- we slide back into our former routines. The problem is that we attempt to “fix” our health by focusing primarily on our physical health. This works for a while.
But if we ignore all the other very important aspects of our lives -- our careers, social lives, finances, and communities -- it is impossible to achieve real and lasting wellbeing improvement. This is because all of these aspects are interrelated and impact one another. So, for example, if you want to lose weight, but are in a job you hate, your chances of success are lower because you have more daily stress. Higher stress is associated with worse health. You are also less likely to get involved in workplace programs that support your healthier intentions.
When we are thriving in multiple areas of our lives, our chances of improving individual facets of our wellbeing -- our eating habits, our exercise frequency, etc. -- increase substantially, because our overall lives support our best intentions. When we have less stress from our finances, have friends with similar goals, and are more connected to our workplaces and communities, our odds of losing weight, or almost any such goal, improve substantially.
Several years ago, Gallup began an effort to quantify the elements that provide the simplest and best explanation of a thriving life for the world’s residents. We found five generalizable elements that individuals and organizational leaders can act on:
- Career Wellbeing: How you occupy your time and liking what you do each day
- Social Wellbeing: Having strong relationships and love in your life
- Financial Wellbeing: Effectively managing your economic life to reduce stress and increase security
- Physical Wellbeing: Having good health and enough energy to get things done on a daily basis
- Community Wellbeing: The sense of engagement and involvement you have with the area where you live
Tackling the challenge of “wellness” or health is deeply dependent on science and practice that takes a holistic view of the person. As an example, in a series of longitudinal studies, tracking thousands of the same full-time employees for two years in the U.S., we found each of the five wellbeing elements listed above was additive in predicting future healthcare costs related to disease burden. Annual health-related costs decrease incrementally according to how many wellbeing elements employees are thriving in.
Those thriving in all five elements in year one accumulated less than half the health-related costs in the following year compared with those thriving in only one of the elements. Thriving employees have fewer unhealthy days, are less likely to be obese, and have less chronic disease burden. Our studies suggest the health-related costs for a 60-year-old with high wellbeing are actually lower than those for a 30-year-old with low wellbeing.
The problem is that while 69% of people we’ve studied are thriving in at least one of the five wellbeing elements, only 9% are thriving in all five. Organizational and community leaders are in the best position to change this statistic, because they lead entities of existing social networks. Change initiatives can spread through networks via awareness and social expectations in much the same way that smoking habits have changed in recent decades.
The bottom line is that two things must happen in order to achieve sustainable change through “wellness” programs -- or as TEDMED puts it “inventing wellness programs that work.” One, programs must take a holistic approach -- cutting across all five areas of wellbeing. And, two, leaders must implement these types of programs in such a way that participation is easy and an expected part of the employee-value proposition. Several organizations are already starting to take the lead in this new science and practice.
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healthcare,
wellbeing,
workplace