Corporate wellness programs are rapidly changing with advances in technology and the transfer of consumer tools into the enterprise environment. ShapeUp hosted the webinar these slides came fromto share with you the major areas of innovation that we see occurring in the wellness space so you can make sense of what’s going on, learn new ways to tackle the challenges you face, and keep an eye toward the future. Watch the full webinar at http://www.shapeup.com/lp/8-innovations-that-are-transforming-corporate-wellness-programs.

2. Today’s webinar hosts
Rajiv Kumar, M.D.
Founder & Chief Medical Officer
rkumar@shapeup.com
Shawn LaVana
Vice President of Marketing
slavana@shapeup.com
Elise Meyer
Marketing Associate
emeyer@shapeup.com

3. Join the conversation on Twitter
@shapeupdotcom
#wellnessinnovation

4. The mission we’re trying to accomplish
Creating a healthier world by leveraging
social influence to engage people in
healthy activities

5. We learn every day from amazing clients

6. Perfecting our behavior change model
Social Marketing
Coaching Financial Incentives
Campaign
Enrollment Self-
Improved
& Assessment Healthy Progress
Health &
Activation & Games & Tracking &
Social
with Social Realistic Challenges Milestones
Rewards
Tools Goal-Setting
1 2 3 4 5
Readiness to Change Biometric Devices

10. Unhealthy behaviors are contagious

11. But healthy behaviors are social too!

12. Harnessing social influence for health
•
1 Create connections
•
2 Competitions & challenges
•
3 Peer-to-peer invitations
•
4 Facilitate conversations
•
5 Public expression
•
6 Peer encouragement
•
7 Status & comparison
8 Rewards for social behavior

13. Social platforms help spread the health
Social Games
Social Stats
Social Newsfeed
Find
Friends

14. Letting employees support each other

15. Let employees form groups and teams
Team List
Team Conversation

16. Leveraging peer accountability

17. Share small, positive actions with friends

18. Health forums, user groups, expert Q&A

19. Why is social transformative?
Program Type Avg. Engagement + Incentives
Coaching Programs 6% 22%
Weight Management 8% 8.5%
Walking Program 10% 20%
Biometric Screening 22% 42%
Social Wellness 30%+ 50%+
Source: 15th Annual National Business Group on Health/Towers Watson Employer Survey on Purchasing Value in Health Care. (coaching,
weight, and biometric data). Analysis based on an average company size of 7,500 employees with an average workforce age of 43 years, 55%
male population and average industry distribution with no financial incentives offered. Walking program and ShapeUp data based on book-of-
business client experience.

21. Games are changing the way we live

22. Games satisfy core human desires
Reward Status Achievement Expression Competition Altruism
Points
Levels
Challenges
Virtual Prizes
Leaderboards
Gifts/Charity

23. Competitions are a powerful social game
60% of U.S.
employers offer a
health competition,
with an additional
27% planning to
offer them in the
next three years.
Working Well: A Global Survey of Health
Promotion and Workplace Wellness Strategies.
Buck Consultants.

24. Activity and nutrition team challenges
1 2 3
Ready Set Go Step It Up Face Off
Balancing Act Fit & Festive Flex Your Food Fight The Flu

25. Crowdsourcing peer-to-peer games

26. Games give people a reason to track
Personal Stats
Tracking Calendar
Trend lines

27. Games facilitate comparison of results

28. Why is gaming transformative?
40%
35%
-1.2%
+8.5%
30% -7.3%
25%
20%
15%
10%
5%
0%
Healthy BMI Overweight BMI Obese BMI
Start End
Wing, R et al: A Statewide Intervention Reduces BMI in Adults: Shape Up Rhode Island Results. Obesity 2009

30. SMS still plays an important role

31. But smartphones are proliferating

32. Apps for physical activity measurement

33. Apps for calorie tracking and sharing

34. Apps for healthy food logging + sharing

35. Apps for sleep quality tracking

36. Workplace apps for promoting exercise

37. Why are mobile apps transformative?
• “It is always a challenge for us to reach everybody.
We have a diverse workforce with many field sites
or manufacturing sites. That’s why on-site
connection is important.”
• “70% of our employees have access to internet on
a regular basis. For the 30% who don’t have work
access we think they have access at home or at
least a kiosk or lab.”
• “We have a vast majority of employees that don’t
have a computer but do need to lose weight. They
tried to manage reporting by phone but it was not
effective for them.”

39. Low-tech devices do change behavior

40. Outcomes-based rewards gaining steam
Employers Using Rewards or Penalties
Based on Health Outcomes
100%
80
60
No
40
20
Yes
0
2011 2012E

41. Connected devices provide validation

42. GreenGoose activity monitor card

43. Jawbone UP wristband

44. Withings blood pressure monitor

45. Fitbit Aria wireless weight scale

46. Basis heart monitor wristwatch

47. Consumer sites have done this for years

48. Employee platforms are now doing it too

49. Activity automatically synced on website

50. Ways to use them in wellness programs
 Employees with a device can link it
for easy tracking
 Employees can purchase a device
directly from the manufacturer
 Purchase devices for some or all
of your employees employees
 Devices can be offered as an
incentive for results in the program

51. Why wireless devices are transformative
“We can’t look at health in isolation.
It’s not just in the doctor’s office.
It’s got to be where we live, we work,
we play, we pray.”
U.S. Surgeon General Regina Benjamin
LA Times, March 13, 2011

53. Wellness programs are going global

54. 24/7 multi-lingual phone + email support
Employee Calls
with Question Employee
in Spanish
Interpreter Interpreter
Interpretation of
Answer Question and
Delivered Context
ShapeUp Rep
Knowledge
Transfer

55. Easy, rapid, multi-lingual translations
 Platforms are becoming available in
many languages
 New languages can be added easily
 All new platform text automatically
exported, rapidly translated, and
imported via an API
US English Latin-American Spanish EU French Korean
UK English EU Spanish Italian Simplified Chinese
CA French German Japanese Traditional Chinese

56. Why global programs are transformative
• “The big question we’ve been asking with
our wellness program is how do we make it
truly global.”
• “We have a tough time because of the
diversification of multiple cultures. Different
cultures are harder to engage.”
• “We have to think about the geographic
nature of employees; what is culturally
acceptable and what is unique and relevant
for this country.”

58. Read this article…I’ll send you the link!

59. Three innovative ways to do incentives
Reward Progress
Reward in Real-Time
Reward Social Actions

60. Rewarding employees for progress
• Rewards for measurable improvements
• Puts the focus on the journey and not
just the destination
• Gives all employees a fair chance

61. Rewarding employees in real-time
• Don’t make employees wait
• Smaller amounts now carry
more weight than larger
amounts later
• Increase the impact of your
incentives without increasing
your budget

62. IBM patents real-time food rewards
• “Providing Consumers With
Incentives For Healthy Eating
Habits”

63. Rewarding employees for social actions
• Encourage peer-to-peer
recruitment to maximize
participation
• Promote peer support to
facilitate group behavior
change
• Leverage accountability to
keep people honest and
engaged

64. Why will this be transformative?
n=22 n=16 n=13 n=12
100%
$1,000+
Results
HSA
No contribution
80 $500-$700
Prizes
60 $300-$500 Average
Incentive
40
Participation
Discount
on
Amount = $375
Yes premiums
$100-$200
20
Cash
$1-$100
0
Offer incentives Basis of Average Format of
incentive amount incentive
(per yr)
Average
375
amount

66. Traditional telephonic coaching is broken
Can be effective, • “We’ve seen a savings of $869 per person per year for
but very low the 530 people who have been enrolled for 2 years.
utilization Telephonic coaching is difficult, although for people
who are struggling with a certain issue, this type of
support can lead them to the next level.”
Some are • “How effective is coaching itself? Given the small
unclear if it is number of participants, we pay a lot for it.”
useful
Others are sure • “We pulled the plug on telephonic health coaching—
that it is not only a small percent respond. It’s not a very motivating
model.”

67. Online coaching solves key problems

68. Asynchronous messaging is convenient

69. Peer coaching offers great promise
• “Peer coaching appears to have
merit as a viable, low-cost
intervention with the potential of
helping individuals with diabetes
who need to change their behavior.”
• “The addition of online coaching
from a peer significantly increased
engagement and retention in the
program.”
1. Peer Coaching: An Intervention for Individuals Struggling With Diabetes, Joseph, D. The Diabetes
Educator. Sep/Oct 2001
2. An Online Recovery Plan Program: Can Peer Coaching Increase Participation? Simon, G. Psychiatric
Services, Vol 62 No 6, June 2011.

70. Why online coaching is transformative
Actual Data from a 40,000 Employee Company
Telephonic Coaching Online Coaching
# Engaged # Engaged
300 1,871
This approach drove a 524% increase
in coaching engagement

72. Using networks to target employees
• Connections
• Degrees
• Centrality
• Convincing

73. What does your network really look like?
Senior ViceHussan
President
Mares
Milavec
Exploration Hopper
Drilling Production
Avery McWatters Milavec
Waring
Dhillon Crossley Ramirez Hussan Hopper
Smith Myers Sutherland Waring
Dhillon Mitchell Mares
Keller Cordoza
Zaheer Myers
Angelo
Smith Avery
Klimchuck Schultz
Keller
Cordoza
Mitchell McWatters
Angelo
Schultz
Crossley
Zaheer Ramirez
Sutherland Klimchuck

74. Target interventions based on the data
‘Kevin Bacons’: central
individuals with a short path to
anyone else
‘Steve McQueens’ = peripheral non-
participants

75. Why network analysis is transformative