1. in your café and beyond shannon moserserrato, mph, rd, ldn |eurest |western division wellness director connect with people. inspire through food. create solutions. live our promise. building a custom wellness solution

2. objectives Identify key partners to help build a custom wellness solution in the environments you service Explore pricing strategies and learn how these initiatives move purchasing behaviors towards more healthful choices Learn to design choices to lead associates in the direction of better-for-you foods

3. presenteeism being present at work, but not optimally The Health Enhancement Research Organization. (2012). Poor employee health habits drive lost productivity according to major new study of nearly 20,000 American workers [press release]. Received from http://www.the-hero.org/Press/releases/Presenteeism_8_6_2012.pdf

4. impact on the workplace Smokers were 28% more likely to experience lost productive work time than nonsmokers 1 Employees who only exercised occasionally were 50% more likely to experience lost productive work time than regular exercisers 1 Employees with an unhealthy diet were 66% more likely to experience lost productive work time than those who regularly ate fruits, vegetables and whole grains 1 1 The Health Enhancement research Organization. (2012). Poor employee health habits drive lost productivity according to major new study of nearly 20,000 American workers [press release]. Received from http://www.the-hero.org/Press/releases/Presenteeism_8_6_2012.pdf

5. partnering for wellness Employees who found it difficult to exercise during the day were 96% more likely to have increased productivity loss 1 Employees who found it difficult to eat healthy at work were 93% more likely to have increased productivity loss 1 Employer efforts to support healthy behaviors impacted presenteeism as well! 1 The Health Enhancement research Organization. (2012). Poor employee health habits drive lost productivity according to major new study of nearly 20,000 American workers [press release]. Received from http://www.the-hero.org/Press/releases/Presenteeism_8_6_2012.pdf

6. partnering for wellness

7. A unique, highly integrated delivery system that combines fitness and wellness programming with healthy food service initiatives for a truly comprehensive solution that has greater quality, consistency, efficiency, innovation and results. &

8. 8 proven results of café & fitness center partnership Objectives: Evaluate effectiveness of Balance+ as a comprehensive wellness solution and measure ability of Balance+ to increase wellness knowledge and generate healthy behavior changes among employees. Program Design: 12-Week Study, 100 Participants Group 1: Balance + education, FC access and 25% off healthy meals Group 2: FC access and 25% discount on Balance + healthy meals Group 3: Control Key Findings: Increased Knowledge Lowered RHR (significant predictor of health) Improved Employee Morale Improved Life Satisfaction (morale, energy, stress reduction, motivation, & anxiety) partnering for wellness

9. quarterly challenge programs combine physical activity & healthy eating Biggest Winner 8 week challenge Daily Biggest Winner meals Reward cards Information essentials Cross promotion Success Story- Hector 114 pounds lost BMI: 40.7 - 24.4 Quit smoking before after Value to Employer $3,391 total cost per smoker/year 1 $3,236 BMI reduction 16 points 2 $6,636 total saved per year 1 Centers for Disease Control 2 ACOEM

10. pricing incentives promising healthy eating strategies Better-for-you purchases can be increased by increasing availability, affordability, prominence, and promotion of better-for-you foods, as well as by de-marketing less healthful options. Pricing strategies- reduced pricing, discount coupons and differential pricing Results may vary for customer subgroups Evaluate for sustainability Center TRT. (2012). Strategies. Retrieved from http://www.centertrt.org Glanz K, Bader M, Lyer S. Retail Grocery Store Marketing Strategies and Obesity. Am J Prev Med 2012;42(5):503–512.

11. limited time offers gardenburger price reduced from $1.99 to 0.99 purchases remained higher than baseline with return to regular pricing pricing incentives

12. creating a price delta bottled water price reduced from $1.25 to $1.00 bottled sugar beverages increased from $1.25 to $1.50 price delta=0.50

13. choice architecture Brian Wansink, James E. Painter, and Jill North Bottomless Bowls: Why Visual Cues of Portion Size May Influence Intake Obesity Research, 2005;13:93-100. Cohen, D. A. & Babey, S.H. (2012). Candy at the cash register- a risk factor for obesity and chronic disease. N Engl J Med, 367:1381-1383. Our food environment influences our choices more than we think Product placement and prominence matters Candy at the cash register End-of-aisle sales

14. choice architecture eye level place better-for-you items at impulse points in the café increase convenience

15. choice architecture de-market less healthful choices by making better-for-you options the default or utilize suggestive selling 100% whole grain bun as default Would you like fresh fruit salad with your pesto chicken sandwich?

16. choice architecture better-for-you station concepts front & center increase visibility enhance taste expectations

17. thank you! shannon moserserrato, mph, rd, ldn |eurest |western division wellness director connect with people. inspire through food. create solutions. live our promise.