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A Buffet of Wellness Programs

This article explores the health profile of the average Commercial Motor Vehicle (CMV) driver, including their physical, lifestyle, and medical profiles. It highlights the health consequences of poor habits and offers basic wellness programs to address them, with a focus on smoking cessation. The success rate of the Quit Power program is also discussed.

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A Buffet of Wellness Programs

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  1. A Buffet of Wellness Programs Brian T Morris, MD, JD, MBA, MPH

  2. Agenda • Profiles of the average Commercial Motor Vehicle (CMV) driver • Health consequences • Basic wellness programs • Comprehensive wellness program • Questions & answers

  3. Profile of the Average CMV Driver Physical Profile Gender Male 92.6% Female 7.4% http://www.bls.gov/cps/cpsaat11.pdf http://www.mmta.com/document_upload/Analysis%20of%20Truck%20Driver%20Age%20Demographics%20FINAL%2012%202014.pdf#page=14&zoom=auto,-150,613 3

  4. Profile of the Average CMV Driver Physical Profile More than 40 years of age http://www.mmta.com/document_upload/Analysis%20of%20Truck%20Driver%20Age%20Demographics%20FINAL%2012%202014.pdf#page=14&zoom=auto,-150,613 4

  5. Profile of the Average CMV Driver Physical Profile Weight 86% Overweight or obese BMI ≥ 25 2007 data 69% Obese BMI ≥ 30 2010 data Twice the percent of the U.S. adult working population Ellin, Abby (2011-11-21). “A Hard Turn: Better Health on the Highway”. The New York Times. Retrieved 2012-03-14. Sieber WK, Robinson CF, Birdsey J, Chen GX, Hitchcock EM, Lincoln JE, Nakata A, Sweeney MH (June 2014). "Obesity and other risk factors: the national survey of U.S. long-haul truck driver health and injury". American Journal of Industrial Medicine 57 (6): 615–26. 5

  6. Profile of the Average CMV Driver Lifestyle Profile Sedentary 8% of CMV drivers exercise regularly 20.8% of adults 18 years of age and over meet the Physical Activity Guidelines for both aerobic physical and muscle-strengthening activity Levy, Steward. "American Crisis - Health of our Nation's Truck Drivers”. Corporate Wellness Magazine. Retrieved May 16, 2012. http://www.cdc.gov/nchs/fastats/exercise.htm

  7. Profile of the Average CMV Driver Lifestyle Profile Smoker 51% of CMV drivers smoke cigarettes (2010 data) 17.8% of Americans smoke cigarettes (2013 CDC data) Sieber WK, Robinson CF, Birdsey J, Chen GX, Hitchcock EM, Lincoln JE, Nakata A, Sweeney MH (June 2014). "Obesity and other risk factors: the national survey of U.S. long-haul truck driver health and injury". American Journal of Industrial Medicine 57 (6): 615–26. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/fast_facts/ 7

  8. Profile of the Average CMV Driver Lifestyle Profile 80% have poor eating habits Unhealthy food choices Lack of healthy choices at truck stops and fast food establishments Jacobson, P. W.; Prawitz, A., & Lukaszuk, J. (2007). "Long-Haul Truck Drivers Want Healthful Meal Options at Truck-Stop Restaurants". Journal of American Dietetic Association 107: 2125–2129. 8

  9. Profile of the Average CMV Driver Medical Profile Less healthy than the average person 61% reported two or more risk factors for cardiovascular disease High blood pressure Obesity Smoking, High cholesterol No physical activity Sleep deprivation Sieber WK, Robinson CF, Birdsey J, Chen GX, Hitchcock EM, Lincoln JE, Nakata A, Sweeney MH (June 2014). "Obesity and other risk factors: the national survey of U.S. long-haul truck driver health and injury". American Journal of Industrial Medicine 57 (6): 615–26. 9

  10. Health Consequences Increased risk for: Hypertension Dyslipidemia Type 2 diabetes Coronary heart disease Stroke Gallbladder disease Osteoarthritis Sleep apnea

  11. Health Consequences Increased risk for: Some cancers Lung Endometrial Breast Colon Kidney Liver Mental illness such as clinical depression, anxiety, and other mental disorders Low quality of life Body pain Reduced physical functioning All-causes of death (mortality) 11

  12. Basic Wellness Programs

  13. Basic Wellness Programs Tobacco by the numbers Tobacco still remains the leading cause of preventable death in the U.S. During 2013-2014, cigarette smoking was estimated to be responsible for 400,000 deaths. The average smoker costs their employer $4,500 - $6,000 a year in additional healthcare costs, lost-time, illness and productivity. An estimated $10.18 in medical costs, and lost productivity, for every pack of cigarettes sold in the U.S. According to the CDC, approximately 70% of smokers want to QUIT!

  14. Basic Wellness Programs Quit Power (Smoking Cessation) Motivational and educational CD A Quit Tips handy pocket guide for daily use and encouragement to stop smoking 8-week supply of Nicotine Replacement Therapy (NRT) - patch or gum Health coaching for motivation and private confidential consultation regarding issues and road blocks to quitting No long meetings or sessions to attend as group

  15. Basic Wellness Programs Quit Power Process Flowchart

  16. Basic Wellness Programs Quit Power success rate (exceptional results) Data collected between October 2010 and October 2014

  17. Basic Wellness Programs Quit Power (Smoking Cessation) One-year quit rate: 45% HHS statistics Quit without help 4-7% Quit with nicotine replacement therapy (NRT) 10.0% Quit with counseling 14.6% Quit with counseling and NRT 27.6% Unlimited counseling makes the difference. Fiore MC, et al. Clinical Practice Guideline: Treating Tobacco Use and Dependence: 2008 Update. Rockville, MD: US Dept of Health and Human Services, Public Health Service; 2008

  18. Basic Wellness Programs Quit Power return on investment (ROI)

  19. Basic Wellness Programs Notable Quit Power Clients • Hundreds of thousands of success stories since 1971.

  20. Basic Wellness Programs Health Screens Body Mass Index/body fat analysis Blood pressure Finger stick On-site testing of glucose, total cholesterol, and HDL-cholesterol Venipuncture Outside lab runs glucose and full lipid panel

  21. Basic Wellness Programs Fitness testing Weight check with Body Mass Index Assessment of muscle strength and flexibility Bone density testing Chair massage

  22. Basic Wellness Programs Fitness training Weight check with Body Mass Index Assessment of muscle strength and flexibility Exercises tailored to the individual’s work and lifestyle

  23. Basic Wellness Programs Educational displays Smoking cessation

  24. Basic Wellness Programs Educational displays Nutrition education with BMI/body fat testing

  25. Basic Wellness Programs Educational displays Physical fitness: stretching/exercise demonstration

  26. Basic Wellness Programs Educational displays Cancer prevention: skin, breast, prostate, colorectal

  27. Basic Wellness Programs Educational displays Stress management education

  28. Basic Wellness Programs Health and Safety Classes American Heart Association CPR/AED class

  29. Basic Wellness Programs Health and Safety Classes Back care, safe lifting, and ergonomic seminar

  30. Basic Wellness Programs Flu vaccination clinic

  31. Basic Wellness Programs EAP Training Catalog of Wellness Courses Course presented on-site or via webinar After presentation Course slides available on-line Recording of presentation including Q&As available on-line

  32. Basic Wellness Programs EAP Training Catalog of Wellness Courses

  33. Comprehensive Wellness Program

  34. Comprehensive Wellness Program Live Well Wellness Program Customized to include any and all: Tobacco cessation Blood pressure Preventive screenings Exercise Stress management Weight loss Pregnancy Nutrition Flu vaccination clinic Educational modules C.P.R. training

  35. Comprehensive Wellness Program Live Well Wellness Program 1. Predict Identify individuals who would benefit from help and intervention • Engage • Employ motivational tools and incentives to encourage participation • Support • Implementation and engagement support plus feedback

  36. Comprehensive Wellness Program Live Well Wellness Program 1. Predict Complete on-line Health Risk Assessment Biometric screening (per employer) Complete on-line medical record (optional) Intake call with your wellness coach

  37. Comprehensive Wellness Program Live Well Wellness Program It starts with: On-line portal Smart phone app 800 number

  38. Comprehensive Wellness Program Live Well Wellness Program

  39. Comprehensive Wellness Program Live Well Wellness Program

  40. Comprehensive Wellness Program Live Well Wellness Program

  41. Comprehensive Wellness Program Live Well Wellness Program 2. Engage Health coach designs a customized program to address employee’s needs Mental health issues (e.g., stress, anxiety, work) are handled in-house Medical issues are referred to Workplace Options (uses Mayo Clinic) Incentives

  42. Comprehensive Wellness Program Live Well Wellness Program 3. Support Unlimited contact with wellness coach Feedback to employee and employer Periodic on-site wellness seminars and clinics Personalized e-newsletters On-line wellness modules Eat your way to wellness Self-care: remaining resilient The mind-body connection Food, Mood, and behavior Heart attack and stroke prevention Getting fit for fall Fitness and weight loss challenge Staying focused on-the-job

  43. Comprehensive Wellness Program Live Well Wellness Program Sample 2016 Calendar of Events (customized for employer)

  44. Comprehensive Wellness Program Live Well Wellness Program You can’t argue with success!

  45. Wellness Programs Do wellness programs save money? Often NO, especially in the short-term But, how do you put a price on: Feeling of well-being Improved morale Greater productivity Less absenteeism and presenteeism Having fun!

  46. Questions and Answers Thank you! 46

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