1. Testing… Subtitle… 30 Years of technology use in workplace health interventions Rikke Magnussen rmgu@steno.dk Researcher, Steno Health Promotion Center, Novo Nordisk Copenhagen, DK

2. Last played...

3. Types of games I develop/study:Science games with mixed physical and computer-based activities

4. Types of games I develop/study:Game-like technology innovation education

5. Overview Review Part of a longer study: selected articles reviewed from 3 perspectives 1) health psychology, 2) management and organization, 3) technology use Reviewing technology use in the largest workplace health studies 1980 - 2010 Purpose To understand where the new possibilities are in using games and health promotion technologies in workplace health projects As inspiration for two large health promotion projects in Copenhagen Methods search, selection criteria, Results – model Model Examples of categories of tech use Future perspectives which type of games, projects and technologies could be developed in future projects? Use two projects as examples

6. Innovative health promotion exhibitions engaging families in local communities Participant development of health activities in multiple local settings of advantaged and disadvantaged families Possible settings: neighborhoods, workplaces, schools Game and health promotion technologies linking the various settings

7. Project: Changing bus drivers health Bus drivers – a group with high risk behavior - smoking, overweight ect. 3 year long research and development project focus on how education and workplace structural changes can motivate drivers to take action on changing their lifestyle How can we use technologies such as games or self monitoring technologies to create changes?

8. What creates sustainable health changes in large groups of participants? Projects that takes place in the multiple settings of peoples everyday life schools, workplaces, family homes Multiple approaches and multiple types of interventions designing physical activities, environmental changes etc. Projects that involves many local stakeholders schools, local authorities… Community-based projects neighborhoods, local sports organizations… Projects that people also benefit socially from Algazy et al., 2010, Green & Tones, 2010, Poland et al., 2000; Jensen, 2009b; Naidoo & Wills, 2009

9. Review Methods Search criteria's and data sources: identification of central studies through their mention in WPH reviews from the past 30 years aim to get a versatile – though not exhaustive – overview as opening for a WPH project databases: HSELINE, CISDOC, NIOSHTI, Cochcrane, Occupational health field… key search words: work (worksite or workplace) AND “health promotion” AND review in title, keywords and abstract + published between 1980 – 2010 1030 review articles

11. Review process: reading between the lines Aim was to analyze a broader trend of tech use in major WPH programs - not to detect single studies with focus on tech use Focus on technology use in implementations and not as analytical tool “How has computer-based technology and electronic media been used in WP health interventions during the past 30 years” 30 years of technology use – inclusion of electronic media, video films, telephones ect. Lack of detailed descriptions of specific use of technology Eg.: Education or information campaigns? Very little method reflection on use of technologies Aim with using technologies, purposes they were used for, why one technology was used instead of another etc.

15. Few not so interesting examplesvideo information installations Electronic media used for educating participants in how to change the social and physical environment by changing individual behaviour and worksite norms to e.g. smoking. Cross-over tech use.

16. For individualizing information on health condition and health risks (computer generated HRA reports) 15viii, 21, 32, 33, 35 For distribution of health information and/or promote health behavior 2vii, 9iv, 11i, 11ii, (18ii), 26, 30, 66, 69 For advising participants on, or create awareness of, program services or components 5i, 14ii, 19ii For recruiting participants or introducing to health program content 3ii, 22, 27, 51,70 For creating awareness of heath activities in working environment. 22, 27 As a virtual setting and/or tool for participant planning and sharing of information on own physical activity and/or other health activities 30, 44 Information For distribution of health information in working environment 4i, 4iii For assisting participation in co-design of physical activities 4i Physical activity Environmental changes Technology in workplace health promotion interventions For health education in working environment 7iii For interventions aimed at changing the social and physical environment by changing individual behavior and worksite norms to eg. Smoking 9iii For remote counselling or consultations 2vii, 5i, 14ii, 15i, 15iv, 15vi, 23, 30, 39, 43,, 56, 59 Education Counselling For individualizing counseling (HRA, computer generated survey results) 4iii, 15viii, 34, 50, 62 As counselling tool 17i For individualizing information on health condition and health risks with an educational aim 25, 34 For health education, nutrition, anti-smoking etc. 2vii, 4iii, 7i, 7iv, 9iii, 9vi, 11iv, 15i, 17ii, 51, 64 As a virtual setting and/or tool for individualized education 44

17. Overall results Most frequent use of computer based technology and electronic media have been in interventions that involve education, information distribution counseling. Fewer studies where technology is used as a tool in structural changes of working environment physical activities Little methodological reflection on what these tech tools contribute with Great potential in thinking in new types of categories.

20. Results