Health and Wealth
Relationships
https://learn.extension.org/events/2677
Dr. Barbara O’Neill, CFP®, and Dr. Karen Ensle, RDN
Rutgers Cooperative Extension
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family
Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587.
Research and evidenced-based
professional development
through engaged online communities
www.extension.org/militaryfamilies
Sign up for webinar email notifications at
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Webinar Objectives
• Describe how health and personal finances are
related
• Describe research findings linking health and
personal finances
• Describe the Personal Health and Finance Quiz
• Describe the Small Steps to Health and Wealth™
(SSHW) program framework
• Describe SSHW program materials and additional
related resources
Question #1:
How Are Health and
Personal Finances
Related?
Health and Personal
Finance Similarities
and Relationships
Health and Personal Finance
Similarities and Relationships
1. Problems develop gradually
2. Less stigma due to increasing frequency
3. Impacts job productivity, discrimination
4. Lots of technical jargon
– Medical terms and directions
– Financial terms and acronyms
More Similarities Between
Health and Personal Finances
5. Need for programs in schools and at work sites
6. People fear drastic changes and large numbers
7. Need for more “point of purchase” information
8. Advice needs to be realistic
Still More Similarities Between
Health and Personal Finances
9. Lack of limits causes problems
10. Restrictions help avoid problems
11. Drastic solutions have major drawbacks
12. Good health affects wealth
– Health = Higher productivity, fewer work absences
– Live long enough to collect Social Security benefits
– Money saved on smoking, health care bills, etc.
Still More Similarities...
13. Longevity concerns: healthy people need to save
more money for longer lifetime
14. People want quick fixes; targets for fraud
15. Denial and disconnects
16. Need for routine check-ups
Still More Similarities
13. Longevity concerns: healthy people need to save
more money for longer lifetime
14. People want quick fixes; targets for fraud
15. Denial and disconnects
16. Need for routine check-ups
Finally, Still More Similarities
17. Poor risk perception
18. Personal traits = Success
19. Many available resources
20. Government and employer intervention
Activity: Similarities Between
Health and Personal Finance
Advice/Recommendations
Both
Health
Advice
Financial
Advice
Question #2:
What Personality Traits
Are Associated with
Positive Health and
Financial Practices ?
Question #3:
How Can Practitioners
Foster Positive
Personality Traits?
Health and Personal
Finance Research
Findings
Personality Traits and
Financial Behavior
• Personality profiles and financial habits established
for 269 respondents age 16 to 71; 46% male
• Conscientiousness and locus of control had a
profound impact on both financial attitudes and
behaviors
Davey, J. & George, C. (2011). Personality and Finance: The
Effects of Personality on Financial Attitudes and Behaviour.
International Journal of Interdisciplinary Social Sciences, 5 (9),
275-294.
Health-Wealth Relationships
Research Findings
• The “cost” of better health is the need for greater wealth
(higher total lifetime health care costs for healthier people)
– More years of out-of-pocket expenses
– Increased likelihood of chronic condition in later life
– Increased likelihood of need for long-term care
– http://crr.bc.edu/wp-content/uploads/2010/05/IB_10-8.pdf (Sun, Webb, & Zhivan, 2010)
• Healthy living habits may improve during tough economic
times
– http://www.stlouisfed.org/publications/re/articles/?id=2018
– http://libres.uncg.edu/ir/uncg/f/C_Ruhm_Healthy_2005.pdf (Ruhm, 2005)
– http://archive.fortune.com/2009/10/27/news/economy/health_recession.fortune/index.htm
More Research Findings
• Associations between financial distress and physical
symptoms of stress
– http://ldi.upenn.edu/uploads/media_items/foreclosure-and-health-
status.original.pdf
– http://www.personalfinancefoundation.org/research/efd/The-Association-
Among-Health-Race-and-Debt.pdf
• Childhood self-control predicts research subjects’ future
health, wealth, and other life outcomes
Moffitt, T.E, Arseneault, L., Belsky, D., Dickson, N, Hancox, R.J., Harrington, H.,
Houts, R., Poulton, R., Roberts, B.W., Ross, S., Sears, M.R, Thomson, W.M., &
Caspi, A. (2011). A gradient of childhood self-control predicts health, wealth, and
public safety. Proceedings of the National Academy of Sciences, 108(7), 2693-2698.
More Research Findings
• Smokers’ lower net worth vs. non-smokers
– http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1747936/pdf/v013p00370.pdf
• Negative association of BMI and income, especially among
white females
– http://www.nber.org/papers/w11343
• Positive impact of financial incentives on health behaviors
– http://mcr.sagepub.com/content/65/6_suppl/36S.short
• Widespread health insurance illiteracy
– http://www.aicpa.org/press/pressreleases/2013/pages/us-adults-fail-health-
insurance-101-aicpa-survey.aspx
– http://www.washingtonpost.com/blogs/wonkblog/wp/2013/08/08/do-you-
understand-health-insurance-most-people-dont/
– http://www.hks.harvard.edu/fs/bmadria/Documents/Madrian%20Papers/Consu
mers%20Misunderstanding%20of%20Health%20Insurance.pdf
More Research Findings
• Positive relationship between engaging in regular physical
activity and labor market earnings
• Regular exercise yielded a 6% to 10% wage increase
• Possible reason: Fit employees are highly disciplined and
more productive, which can lead to career advancement and
higher earnings
Kosteas, V.D. (2012). The effect of exercise on earnings: Evidence from the
NLSY. Journal of Labor Research, 33, 225-250.
More Research Findings
• Dor, Ferguson, Langwith, and Tan (2010) estimated overall
annual costs of being obese as $4,879 for an obese woman
and $2,646 for an obese man
• Their analysis included non-medical indirect costs e.g., sick
days, lost productivity, lower wages, life insurance premiums
(i.e., not being able to qualify for preferred rates), and even
the need for extra gasoline
• The difference between genders was mostly the result of lost
wages for obese women; obese women lost more income
through lost wages than medical costs
https://publichealth.gwu.edu/departments/healthpolicy/DHP_Publications/pub_uplo
ads/dhpPublication_35308C47-5056-9D20-3DB-157B39AC53093.pdf
Retirement Plan Savings and
Health Behavior Study
• Published in Psychological Science in 2014:
http://pss.sagepub.com/content/early/2014/06/25/0956797614540467.abstract
• An employee’s decision to contribute to a 401(k) predicted
action to correct poor physical health indicators that were
revealed during an employer-sponsored health examination
• Employees who saved for the future in a 401(k) showed
improvements in abnormal blood-test results and health
behaviors about 27% more often than non-contributors did
• Findings were attributed to individuals’ time-discounting trait
that predicts long-term behavior
Information Search: Another
Health and Personal Finance Link
• 2015 Study: Individuals who engage in health search
behaviors (e.g., reading nutrition details of food labels) are
more likely to engage in financial planning activities
• Financial planning was proxied through five different
retirement readiness activities
• N = 4,825 cases
• Cognitive process had significant health-wealth relationship
but direct physical activities (e.g., exercise) did not
http://afcpe.org/assets/pdf/volume_26_1/pages_3-16.pdf
Question #4:
Do Financial Incentives
Change People’s Health
Habits? Examples?
Financial Incentives and
Smoking Cessation
• Savings account for worker deposits for six months
• Urine test at six-month mark
• Participants got money back if they passed test
• Participants forfeited money if they did not pass
• Smokers randomly assigned to program were 3%
more likely to pass 6-month test than control group
• Effects persisted in surprise tests at 12 months
• Savings program produced lasting smoking cessation
http://www.ingentaconnect.com/content/aea/aejae/2010/00000002/00000004/art00009
More Research on Smoking
Cessation Financial Incentives
• Extrinsic motivation can enhance short-term
smoking cessation and reduction
• Durability of long-term maintenance of effects is
unknown or disappointing
• Effects depend upon the design of incentives, their
form (e.g., monetary rewards), how they interact
with intrinsic and social motivations, and what
happens when incentives are withdrawn
http://www.ingentaconnect.com/content/aea/jep/2011/00000025/00000004/art00009
Possible Insight
• Just like investment account money, people may be
more “sensitive” to losing previously saved money
related to a health habit (via a commitment contract)
than earning new money (a simple incentive payment)
• Many insights in behavioral finance loss aversion
literature (Thaler, Odean, Camerer, Kahneman, etc.)
The Personal Health
and Finance Quiz
Personal Health and
Finance Quiz
http://njaes.rutgers.edu/money/health-finance-quiz/
• Believed to be FIRST combined online health and personal
finance behavioral practice assessment tool; IRB approved at
Rutgers
• Three distinct uses:
– Stand-alone self-assessment tool for users
– To collect data for ongoing research
– For educators to use for SSHW program evaluation (pre-
and post-program score)
Health Questions1 = Never
2 = Sometimes
3 = Usually
4 = Always
Daily Health Behaviors:
___ 1. I eat breakfast before starting my day (e.g., work, school, or other daily activities).
___ 2. I avoid drinking sugar-sweetened beverages (e.g., regular soda and sweetened coffee, tea, or waters).
___ 3. I eat 3 ½ to 4 ½ cups of fruits AND vegetables daily.
___ 4. I get at least 7 hours of sleep per night.
___ 5. I eat at least 1-2 high fiber foods each day (e.g., whole wheat bread and pasta, oat bran, beans, lentils, peas)
___ 6. I eat and drink fat-free and/or low-fat dairy products.
___ 7. I avoid high-calorie salad dressings, gravies, spreads, and/or sauces.
___ 8. I eat foods that are low in fat and/or saturated fat.
___ 9. I get at least 30 minutes of aerobic and/or muscle-strengthening physical activity at least 5 days per week.
___ 10. I read the Nutrition Facts Label on food products before making a purchase
Health Score: __________
• 9-16 points- Your health choices could be better, but don’t despair. It’s never too late to take action to improve your health.
• 17-24 points- You are doing a fair job of managing your health practices and have taken some steps in the right direction.
• 25-32 points- You are doing a good job and are above average in managing your health.
• 33-40 points- You are in excellent shape managing your health. Keep up the good work!
• Note: Items that you scored with a 1 or 2 are actions that you should consider taking in the future to improve your health.
Finance Questions
Daily Financial Behaviors:
___ 11. I follow a hand-written or computer-generated spending plan (budget) to guide my spending and savings.
___ 12. I maintain an emergency fund equal to at least three months of basic, essential household expenses.
___ 13. I save the equivalent of at least $1 daily ($365 annually) in loose change in a savings account and/or or jar.
___ 14. I invest the equivalent of at least $10 daily ($3,650 annually) in investment accounts and/or retirement plans.
___ 15. I avoid payday loans, car title loans, pawn shop loans, cash advances, tax refund loans, and other high-cost debt.
___ 16. I owe less than 20% of my monthly net income on monthly consumer debt payments (e.g., credit cards, car loans) ___
17. I eat at least two meals a day prepared at home instead of eating out (excluding traveling).
___ 18. I use advertisements, coupons, promo codes, sales, web sites, and/or discounts to save money on purchases.
___ 19. I live below my means (i.e., spend less than I earn).
___ 20. I make written “to do” lists or specific plans to organize my financial goals, spending, and/or daily activities.
Financial Score: __________
Score Interpretation
• 9-16 points- Your financial choices could be better, but don’t despair. It’s never too late to take action to improve your finances.
• 17-24 points -You are doing a fair job of managing your personal finances and have taken some steps in the right direction.
• 25-32 points -You are doing a good job and are above average in managing your finances.
• 33-40 points -You are in excellent shape managing your finances. Keep up the good work!
Note: Items that you scored with a 1 or 2 are actions that you should consider taking in the future to improve your personal
finances.
TOTAL (Health + Financial) Score: __________
Activity: Take the Personal
Health and Finance Quiz
• Use a print copy or take it online:
http://njaes.rutgers.edu/money/health-finance-quiz/
• Total your score
• Identify your areas of strength (i.e., frequently
performed positive health and financial practices)
• Identify areas for improvement
Question #5:
Which Health Items Did
You Score Highest On?
Question #6:
Which Financial Items Did
You Score Highest On?
Question #7:
As a Result of Taking the
Quiz, Which Health or
Financial Practices Would
You Like to Take Action On?
Research Findings: Personal
Health and Finance Quiz
• Correlation of .463 between health behavior index (9
behaviors) and financial behavior index (9 behaviors)
• Lowest average quiz score (health behavior): eating 3 ½ to
4 ½ cups of fruits and vegetables daily
• Lowest average quiz score (financial behavior): following a
spending plan
• N = 942
https://www.onefpa.org/journal/Pages/MAR16-Propensity-to-
Plan-A-Key-to-Health-and-Wealth.aspx
More Research Findings
• Studied relationships of positive health and finance practices
that involve
– A daily time expenditure (physical activity, eating at home)
– Avoidance of negative behaviors (SSBs, payday loans)
• Weak but statistically significant, relationships
• Women had higher correlations than men for practices
involving routine activities that involve a time expenditure and
avoidance of negative behaviors
• Forthcoming publication
More Research Findings
• Studied relationships between the practice of following a
hand-written or computer-generated spending plan
(budget) and positive health and financial behaviors
• Positive and statistically significant relationships between
budgeting and health and financial behaviors
• Many quiz health items involve “budgeting” calories
• Forthcoming publication
Future Data Analyses
• Will test personal finance score relationships with new
nutrition label reading quiz item to build upon Carr et al.
(2015) study
• Continued study of the relationship of health and personal
finance practices
Graduate Student Master’s
Thesis is Using the Quiz as a
Data Source
University of Kentucky MS degree graduate
student/Extension agent, Laura White, using
quiz to study the impact of a SSHW class series
Small Steps to Health
and Wealth™
Program Framework
Why SSHW?
Americans Have “Issues”
• Overweight/obesity
• Physical inactivity
• Heart disease and diabetes
• Low savings rates
• High household debt/bankruptcy rates
• Inadequate emergency reserves
• Other?
Retirement Savings
• A third of people in the U.S. have NOTHING saved for
retirement including 14% of those age 65+ and 26% of those
age 50 to 64 (8/14 Bankrate.com survey)
http://www.usatoday.com/story/money/personalfinance/2014/08
/18/zero-retirement-savings/14069937/
• 2016 EBRI Retirement Confidence Survey (RCS): 26% of
workers have < $1,000 in retirement savings and 54% have
< $25,000 (excluding house and DB pension:
https://www.ebri.org/pdf/surveys/rcs/2016/EBRI_IB_422.Mar
16.RCS.pdf
Fed Survey on Economic Well-
Being of U.S. Households (7/14)
http://www.federalreserve.gov/econresdata/2013-report-
economic-well-being-us-households-201407.pdf
• 25% of households “just getting by”; 13% struggling
• 31% of respondents not retired had no savings or
pension, including 19% age 55 to 64
• Only 39% of respondents had 3 months of
expenses in savings
Health Study: 6 in 10 Americans
Drink Regularly; only 3 in 10 Get
Regular Exercise (CDC Study)
http://www.webmd.com/healthy-aging/news/20100316/good-vs-
bad-health-habits-in-us
• One in five adults were smokers
• Six in 10 adults were obese or overweight
• Three in 10 adults averaged 6 hours of sleep or fewer per
night.
Health and Finances Top New
Year’s Resolutions
• University of Scranton study:
http://www.rochesterhomepage.net/story/top-new-
years-resolutions-and-staying-with-
them/d/story/puM2h0ppTUugrkw4qsx2YQ
• Top 5 resolutions for 2014:
1. Lose weight
2. Get organized
3. Spend less, save more
4. Enjoy life to the fullest
5. Stay fit and healthy
O’Neill Journal Articles For More
Background Information
The Forum For Family and Consumer Issues (2004)
www.ces.ncsu.edu/depts/fcs/pub/9_3/smallsteps.html
The Forum For Family and Consumer Issues (2014)
http://ncsu.edu/ffci/publications/2014/v19-n1-2014-
spring/oneil-ensle.php
SSHW “Elevator Statement”
Small Steps to Health and Wealth™
encourages participants to make
positive behavior changes to
simultaneously improve their health
and personal finances.
SSHW™ Framework: 25 Health &
Wealth Behavior Change Strategies
• Track Your Current Behavior
• Unload Your Childhood Baggage
• Put Your Mind To It
• Commit to Making a Change
• Defy Someone or Defy the Odds
• Think Balance-Not Sacrifice
• Control Your Destiny
• Make Progress Every Day
• Get Help and Be Accountable
• Meet Yourself Halfway
• Say “No” to Supersizing
• Convert Consumption Into Labor
• Compare Yourself With Benchmarks
• Use Easy Frames of Reference
• Automate Good Habits and Create Templates
• Live “The Power of 10”
• Take Calculated Risks and Conquer Fears
• Appreciate Teachable Moments and Wake-Up
Calls
• Weigh the Costs and Benefits of Changing
• Step Down to Change
• Kick It Up a Notch
• Control Your Environment
• Monitor Your Progress & Reward Success
• Expect Obstacles & Prepare For Relapses
• Set a Date & Get Started…Just Do It!
Each Strategy Has a
Personalized Worksheet
Examples:
• Food and activity/ Income and expense logs
• Visualization and positive self talk exercises
• Defiance worksheets: health and wealth
• Energy balance and money balance worksheets
• Converting calories and spending into labor worksheets
“The Jersey Diner
Approach” to SSHW
• Adopt strategies that work for you
• Choose 3 to 4 (maximum) strategies
1. Track Your Current Behavior
(Exercise, Eating, Spending)
• Use a pedometer:
– To determine current number of steps- then build up gradually
– “Use your feet more and you can eat more”
• Track foods eaten & calories consumed:
– Use a “Calorie Counter” book for unlabeled foods
• Track monthly income, expenses, & cash flow
– Is spending or eating related to emotions?
http://njaes.rutgers.edu/sshw/workbook/01_Track_Your_Current_Behavior.pdf
5. Defy Someone or Defy the
Odds
• Make a bet and win it
• Prove someone wrong
• Stop being a statistic!
http://njaes.rutgers.edu/sshw/workbook/05_Defy_Someone_or_Defy_the_Odds.pdf
6. Think Balance- Not Sacrifice
• Need to balance intake and outgo
• Weight: Burn more calories than consumed
• Savings: Earn more money than spent
• More people today are “out of balance”
• Changing just one habit can have big impact
http://njaes.rutgers.edu/sshw/workbook/06_Think_Balance-Not_Sacrifice.pdf
8. Make Progress Everyday
Any small step to improve your
health or increase your wealth is
better than doing nothing!
http://njaes.rutgers.edu/sshw/workbook/08_Make_Progress_Every_Day.pdf
Question #8:
What are some things you
can do daily to reach your
health or financial goals?
9. Get Help and Be Accountable
Sources of support to reach goals:
• Friends, family, co-workers
• Pets
• Employers
• Support groups
http://njaes.rutgers.edu/sshw/workbook/09_Get_Help_and_Be_Accountable.pdf
10. Meet Yourself Halfway
• Health: Decrease portion sizes of favorite foods by
1/3 to 1/2 and/or increase exercise
– Eat half as much as you do now…gradually
– Take leftovers from restaurant meals home
• Finances: Reduce discretionary spending by 1/3 to
1/2 and/or increase income
– Spend less than you do now
– Look for less expensive options
http://njaes.rutgers.edu/sshw/workbook/10_Meet_Yourself_Halfway.pdf
12. Convert Consumption
(Calories, Spending) Into Labor
• Health: How many hours of exercise are needed to
burn off extra food?
– Is eating a certain food “worth the calories?”
• Finances: How many hours of work are needed in
order to buy something (use after-tax dollars)?
– Is buying something worth the time worked?
http://njaes.rutgers.edu/sshw/workbook/12_Convert_Consumption_Into_Labor.pdf
13. Compare Yourself With
Recommended Benchmarks
• Health:
– Body Mass Index (BMI)
– 4 ½ cups of fruits and vegetables daily
– Total cholesterol < 200 mg/dl
• Finances:
– Consumer debt-to-income ratio < 20%
– Age times gross income divided by 10 (Stanley & Danko
formula in The Millionaire Next Door)
– Suggested asset allocations by age
http://njaes.rutgers.edu/sshw/workbook/13_Compare_Yourself_With_Recommended_Benchmarks.pdf
15. Automate Good Habits and
Create Templates
• Health: Routine health screenings, nutritional
shakes and “points” programs for weight loss, short
programmed workouts (e.g., Curves)
• Finances: Dollar-cost averaging investment
deposits, employer retirement savings plan, Save
More Tomorrow concept, direct deposit
http://njaes.rutgers.edu/sshw/workbook/15_Automate_Good_Habits_and_Create_Templates.pd
f
16. Live “The Power of 10”
• Lose 10% of body
weight
• Walk 10,000 steps/day
• Eat 100 calories less
per day
• Exercise in 10-minute
intervals
• Save $10 a week or
month
• Add $1/day to credit
card payments
•Invest some money in
stock (average 10%
return)
http://njaes.rutgers.edu/sshw/workbook/16_Live_The_Power_of_10.pdf
19. Weigh the Costs and
Benefits of Changing
• Cost-benefit analysis: decision-making tool
• Decisional Balance: weigh pros and cons of
changing behavior
• People take action when the pros of changing
outweigh the cons
• Decisions to change affect others
http://njaes.rutgers.edu/sshw/workbook/19_Weigh_the_Costs_and_Benefits_of_Changing.pdf
20. Step Down to Change
• Don’t cut out something completely
• Find a better alternative
http://njaes.rutgers.edu/sshw/workbook/20_Step_Down_to_Change.pdf
Source of Figure: Dr. Alena
Johnson, Utah State University
Activity:
Give an example to illustrate the
“Step Down to Change” strategy.
21. Kick It Up a Notch!
• Ramp up physical
activity
• Work up to 10,000
steps
• Increase fruits and
vegetables in diet
• Do more of anything
positive!
• Transfer credit card
balances to lower rate
• Automatically increase
savings at regular
intervals
• Add 1/12 of mortgage
payment (P & I) monthly
• Do more of anything
positive!
http://njaes.rutgers.edu/sshw/workbook/21_Kick_it_Up_a_Notch.pdf
52-Week Money Challenge
• Starts with $1 and gradually ramps up $1 a week to 52
http://walton.ifas.ufl.edu/fcs/files/2014/01/52-Week-Money-Challenge.pdf
52-Week Youth Money Challenge
• Gradually ramps up from $1 to $5 per week
http://www.slideshare.net/BarbaraONeill/52-week-money-challenge-for-youth0315
30-Day $100 Challenge
Activity:
Give an example to illustrate the
“Kick It Up a Notch” strategy.
25. Set a Date and Get Started…
Just Do It!
• Take the time to prepare properly
• Identify and address obstacles
• Set a realistic start or quit date
• “Go public” with your commitment to change
• Consider a “commitment contract”
• Then…”just do it!”
http://njaes.rutgers.edu/sshw/workbook/25_Set_a_Date_and_Get_Started---
Just_Do_It.pdf
Select 3- 4 SSHW Strategies
Question #9:
Which SSHW Behavior
Change Strategies Do You
Like the Most?
Small Steps to Health
and Wealth™
Program Materials
Recent SSHW Program
Components
• Second Edition SSHW workbook (2013)
• SHHW workbook online for free downloading:
http://njaes.rutgers.edu/money/
• SSHW Youth Curriculum (U of KY):
http://www2.ca.uky.edu/agc/pubs/fcs5/fcs5451/fcs5451.PDF
• SSHW Older Adult Curriculum (U of FL):
http://njaes.rutgers.edu/sshw/internal/older-adults/Lesson-1-
Living-Well-on-a-Shoestring-with-activities.pdf (Lesson 1)
SSHW Web Site Features
• Daily motivational messages for 9 competitive SSHW
challenges (2010-2013)
• SSHW book marketing information
• SSHW Blog (U of CA)
• SSHW Podcasts and videos (Colorado State
University)
• List of refereed journal articles and abstracts
http://njaes.rutgers.edu/sshw/
SSHW Monthly Messages
• Monthly health message
• Monthly financial message
• All prior messages since 2007 are archived on the
SSHW Web site: http://njaes.rutgers.edu/sshw
• ALL health and financial educators are invited- and
encouraged- to write SSHW messages
– Message are archived to be able to list on CVs
– Writing helps build national recognition!
SSHW Workplace Wellness
Newsletters
• Available for free downloading on Rutgers Web Site:
http://njaes.rutgers.edu/sshw/
• 26 newsletters: Introduction and 25 behavior change
strategies
• Introductory newsletter:
http://njaes.rutgers.edu/sshw/pdfs/workforce-
newsletter/Introduction.pdf
SSHW Animated Videos
• Ten animated SSHW videos are archived at
http://www.youtube.com/user/moneytalkBMO
Sample SSHW Videos
• Video about SSHW Book:
https://www.youtube.com/watch?v=PpYMxgZCtZ8
• “Kick It Up a Notch” Strategy:
https://www.youtube.com/watch?v=Jejh1h7CQpY
SSHW Downloadable Posters
SSHW Calculators
SSHW Online Challenge
Other Resources: Health
Assessment Tools
• Healthy Behaviors Quiz (Indiana University)
http://www.weighttalk.net/iu/about-the-program/healthy-behaviors-quiz/
This quiz asks a series of five questions about healthy behaviors practiced on a regular basis.
• Interactive Games, Quiz, and Videos (Academy of Nutrition and Dietetics)
http://www.eatright.org/nnm/games/#.U57HNU1OWM8
This Web page includes six interactive programs to teach health and nutrition topics to youth
and adults.
• Nutrition and Activity Quiz (American Cancer Society)
http://www.cancer.org/healthy/toolsandcalculators/quizzes/nutrition-activity-quiz/
This quiz consists of 12 questions about daily behaviors that are taken to live a healthy
lifestyle.
• 360 Degree Gut Check (Live Well Colorado)
http://livewellcolorado.org/healthy-living/360-gut-check/behavior-quiz
This Web page includes three different health behavior assessment quizzes for adults,
children, and families.
Other Resources: Financial
Assessment Tools
• Financial Fitness Quiz (Rutgers Cooperative Extension)
http://njaes.rutgers.edu/money/ffquiz/
This 20-question online multiple choice quiz provides a self-assessment of personal finance
practices.
• Financial Fitness Quiz (Virginia Society of Certified Public Accountants)
http://www.vscpa.com/Content/59148.aspx
This 20-question online true-false quiz provides a self-assessment of personal finance
practices.
• Personal Finance Quizzes (Money Tools: Personal Finance News and Information)
http://moneytools.org/personal-finance-quizzes
This Web page includes a wide variety of interactive quizzes on personal finance topics.
• Saver Checklist (America Saves)
http://americasaves.org/for-savers/savings-tools-and-resources/saver-checklist-tool
This checklist of personal finance behaviors includes characteristics of successful savers.
Pre- and Post-Test
http://njaes.rutgers.edu/sshw/internal/
What is one significant
thing
you learned today?
87
Key Take-Aways
• Health and personal finances are interrelated
• Personality traits impact health and financial
behaviors
• Many Americans have health and/or personal finance
“issues”
• The Personal Health and Finance Quiz assesses the
frequency of individuals’ health and financial
behaviors
• SSHW teaches behavior change strategies in an
interdisciplinary manner
“The Greatest Wealth is Health”
Virgil (BC)
Find all upcoming and recorded webinars covering:
Personal Finance
Military Caregiving
Family Development
Family Transitions
Network Literacy
Nutrition & Wellness
Community Capacity Building
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family
Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587.
www.extension.org/62581

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Health and Wealth Relationships-10-16

  • 1. Health and Wealth Relationships https://learn.extension.org/events/2677 Dr. Barbara O’Neill, CFP®, and Dr. Karen Ensle, RDN Rutgers Cooperative Extension This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587.
  • 2. Research and evidenced-based professional development through engaged online communities www.extension.org/militaryfamilies Sign up for webinar email notifications at www.extension.org/62831
  • 3. Webinar Objectives • Describe how health and personal finances are related • Describe research findings linking health and personal finances • Describe the Personal Health and Finance Quiz • Describe the Small Steps to Health and Wealth™ (SSHW) program framework • Describe SSHW program materials and additional related resources
  • 4. Question #1: How Are Health and Personal Finances Related?
  • 5. Health and Personal Finance Similarities and Relationships
  • 6. Health and Personal Finance Similarities and Relationships 1. Problems develop gradually 2. Less stigma due to increasing frequency 3. Impacts job productivity, discrimination 4. Lots of technical jargon – Medical terms and directions – Financial terms and acronyms
  • 7. More Similarities Between Health and Personal Finances 5. Need for programs in schools and at work sites 6. People fear drastic changes and large numbers 7. Need for more “point of purchase” information 8. Advice needs to be realistic
  • 8. Still More Similarities Between Health and Personal Finances 9. Lack of limits causes problems 10. Restrictions help avoid problems 11. Drastic solutions have major drawbacks 12. Good health affects wealth – Health = Higher productivity, fewer work absences – Live long enough to collect Social Security benefits – Money saved on smoking, health care bills, etc.
  • 9. Still More Similarities... 13. Longevity concerns: healthy people need to save more money for longer lifetime 14. People want quick fixes; targets for fraud 15. Denial and disconnects 16. Need for routine check-ups
  • 10. Still More Similarities 13. Longevity concerns: healthy people need to save more money for longer lifetime 14. People want quick fixes; targets for fraud 15. Denial and disconnects 16. Need for routine check-ups
  • 11. Finally, Still More Similarities 17. Poor risk perception 18. Personal traits = Success 19. Many available resources 20. Government and employer intervention
  • 12. Activity: Similarities Between Health and Personal Finance Advice/Recommendations Both Health Advice Financial Advice
  • 13. Question #2: What Personality Traits Are Associated with Positive Health and Financial Practices ?
  • 14. Question #3: How Can Practitioners Foster Positive Personality Traits?
  • 15. Health and Personal Finance Research Findings
  • 16. Personality Traits and Financial Behavior • Personality profiles and financial habits established for 269 respondents age 16 to 71; 46% male • Conscientiousness and locus of control had a profound impact on both financial attitudes and behaviors Davey, J. & George, C. (2011). Personality and Finance: The Effects of Personality on Financial Attitudes and Behaviour. International Journal of Interdisciplinary Social Sciences, 5 (9), 275-294.
  • 17. Health-Wealth Relationships Research Findings • The “cost” of better health is the need for greater wealth (higher total lifetime health care costs for healthier people) – More years of out-of-pocket expenses – Increased likelihood of chronic condition in later life – Increased likelihood of need for long-term care – http://crr.bc.edu/wp-content/uploads/2010/05/IB_10-8.pdf (Sun, Webb, & Zhivan, 2010) • Healthy living habits may improve during tough economic times – http://www.stlouisfed.org/publications/re/articles/?id=2018 – http://libres.uncg.edu/ir/uncg/f/C_Ruhm_Healthy_2005.pdf (Ruhm, 2005) – http://archive.fortune.com/2009/10/27/news/economy/health_recession.fortune/index.htm
  • 18. More Research Findings • Associations between financial distress and physical symptoms of stress – http://ldi.upenn.edu/uploads/media_items/foreclosure-and-health- status.original.pdf – http://www.personalfinancefoundation.org/research/efd/The-Association- Among-Health-Race-and-Debt.pdf • Childhood self-control predicts research subjects’ future health, wealth, and other life outcomes Moffitt, T.E, Arseneault, L., Belsky, D., Dickson, N, Hancox, R.J., Harrington, H., Houts, R., Poulton, R., Roberts, B.W., Ross, S., Sears, M.R, Thomson, W.M., & Caspi, A. (2011). A gradient of childhood self-control predicts health, wealth, and public safety. Proceedings of the National Academy of Sciences, 108(7), 2693-2698.
  • 19. More Research Findings • Smokers’ lower net worth vs. non-smokers – http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1747936/pdf/v013p00370.pdf • Negative association of BMI and income, especially among white females – http://www.nber.org/papers/w11343 • Positive impact of financial incentives on health behaviors – http://mcr.sagepub.com/content/65/6_suppl/36S.short • Widespread health insurance illiteracy – http://www.aicpa.org/press/pressreleases/2013/pages/us-adults-fail-health- insurance-101-aicpa-survey.aspx – http://www.washingtonpost.com/blogs/wonkblog/wp/2013/08/08/do-you- understand-health-insurance-most-people-dont/ – http://www.hks.harvard.edu/fs/bmadria/Documents/Madrian%20Papers/Consu mers%20Misunderstanding%20of%20Health%20Insurance.pdf
  • 20. More Research Findings • Positive relationship between engaging in regular physical activity and labor market earnings • Regular exercise yielded a 6% to 10% wage increase • Possible reason: Fit employees are highly disciplined and more productive, which can lead to career advancement and higher earnings Kosteas, V.D. (2012). The effect of exercise on earnings: Evidence from the NLSY. Journal of Labor Research, 33, 225-250.
  • 21. More Research Findings • Dor, Ferguson, Langwith, and Tan (2010) estimated overall annual costs of being obese as $4,879 for an obese woman and $2,646 for an obese man • Their analysis included non-medical indirect costs e.g., sick days, lost productivity, lower wages, life insurance premiums (i.e., not being able to qualify for preferred rates), and even the need for extra gasoline • The difference between genders was mostly the result of lost wages for obese women; obese women lost more income through lost wages than medical costs https://publichealth.gwu.edu/departments/healthpolicy/DHP_Publications/pub_uplo ads/dhpPublication_35308C47-5056-9D20-3DB-157B39AC53093.pdf
  • 22. Retirement Plan Savings and Health Behavior Study • Published in Psychological Science in 2014: http://pss.sagepub.com/content/early/2014/06/25/0956797614540467.abstract • An employee’s decision to contribute to a 401(k) predicted action to correct poor physical health indicators that were revealed during an employer-sponsored health examination • Employees who saved for the future in a 401(k) showed improvements in abnormal blood-test results and health behaviors about 27% more often than non-contributors did • Findings were attributed to individuals’ time-discounting trait that predicts long-term behavior
  • 23. Information Search: Another Health and Personal Finance Link • 2015 Study: Individuals who engage in health search behaviors (e.g., reading nutrition details of food labels) are more likely to engage in financial planning activities • Financial planning was proxied through five different retirement readiness activities • N = 4,825 cases • Cognitive process had significant health-wealth relationship but direct physical activities (e.g., exercise) did not http://afcpe.org/assets/pdf/volume_26_1/pages_3-16.pdf
  • 24. Question #4: Do Financial Incentives Change People’s Health Habits? Examples?
  • 25. Financial Incentives and Smoking Cessation • Savings account for worker deposits for six months • Urine test at six-month mark • Participants got money back if they passed test • Participants forfeited money if they did not pass • Smokers randomly assigned to program were 3% more likely to pass 6-month test than control group • Effects persisted in surprise tests at 12 months • Savings program produced lasting smoking cessation http://www.ingentaconnect.com/content/aea/aejae/2010/00000002/00000004/art00009
  • 26. More Research on Smoking Cessation Financial Incentives • Extrinsic motivation can enhance short-term smoking cessation and reduction • Durability of long-term maintenance of effects is unknown or disappointing • Effects depend upon the design of incentives, their form (e.g., monetary rewards), how they interact with intrinsic and social motivations, and what happens when incentives are withdrawn http://www.ingentaconnect.com/content/aea/jep/2011/00000025/00000004/art00009
  • 27. Possible Insight • Just like investment account money, people may be more “sensitive” to losing previously saved money related to a health habit (via a commitment contract) than earning new money (a simple incentive payment) • Many insights in behavioral finance loss aversion literature (Thaler, Odean, Camerer, Kahneman, etc.)
  • 28. The Personal Health and Finance Quiz
  • 29. Personal Health and Finance Quiz http://njaes.rutgers.edu/money/health-finance-quiz/ • Believed to be FIRST combined online health and personal finance behavioral practice assessment tool; IRB approved at Rutgers • Three distinct uses: – Stand-alone self-assessment tool for users – To collect data for ongoing research – For educators to use for SSHW program evaluation (pre- and post-program score)
  • 30. Health Questions1 = Never 2 = Sometimes 3 = Usually 4 = Always Daily Health Behaviors: ___ 1. I eat breakfast before starting my day (e.g., work, school, or other daily activities). ___ 2. I avoid drinking sugar-sweetened beverages (e.g., regular soda and sweetened coffee, tea, or waters). ___ 3. I eat 3 ½ to 4 ½ cups of fruits AND vegetables daily. ___ 4. I get at least 7 hours of sleep per night. ___ 5. I eat at least 1-2 high fiber foods each day (e.g., whole wheat bread and pasta, oat bran, beans, lentils, peas) ___ 6. I eat and drink fat-free and/or low-fat dairy products. ___ 7. I avoid high-calorie salad dressings, gravies, spreads, and/or sauces. ___ 8. I eat foods that are low in fat and/or saturated fat. ___ 9. I get at least 30 minutes of aerobic and/or muscle-strengthening physical activity at least 5 days per week. ___ 10. I read the Nutrition Facts Label on food products before making a purchase Health Score: __________ • 9-16 points- Your health choices could be better, but don’t despair. It’s never too late to take action to improve your health. • 17-24 points- You are doing a fair job of managing your health practices and have taken some steps in the right direction. • 25-32 points- You are doing a good job and are above average in managing your health. • 33-40 points- You are in excellent shape managing your health. Keep up the good work! • Note: Items that you scored with a 1 or 2 are actions that you should consider taking in the future to improve your health.
  • 31. Finance Questions Daily Financial Behaviors: ___ 11. I follow a hand-written or computer-generated spending plan (budget) to guide my spending and savings. ___ 12. I maintain an emergency fund equal to at least three months of basic, essential household expenses. ___ 13. I save the equivalent of at least $1 daily ($365 annually) in loose change in a savings account and/or or jar. ___ 14. I invest the equivalent of at least $10 daily ($3,650 annually) in investment accounts and/or retirement plans. ___ 15. I avoid payday loans, car title loans, pawn shop loans, cash advances, tax refund loans, and other high-cost debt. ___ 16. I owe less than 20% of my monthly net income on monthly consumer debt payments (e.g., credit cards, car loans) ___ 17. I eat at least two meals a day prepared at home instead of eating out (excluding traveling). ___ 18. I use advertisements, coupons, promo codes, sales, web sites, and/or discounts to save money on purchases. ___ 19. I live below my means (i.e., spend less than I earn). ___ 20. I make written “to do” lists or specific plans to organize my financial goals, spending, and/or daily activities. Financial Score: __________ Score Interpretation • 9-16 points- Your financial choices could be better, but don’t despair. It’s never too late to take action to improve your finances. • 17-24 points -You are doing a fair job of managing your personal finances and have taken some steps in the right direction. • 25-32 points -You are doing a good job and are above average in managing your finances. • 33-40 points -You are in excellent shape managing your finances. Keep up the good work! Note: Items that you scored with a 1 or 2 are actions that you should consider taking in the future to improve your personal finances. TOTAL (Health + Financial) Score: __________
  • 32. Activity: Take the Personal Health and Finance Quiz • Use a print copy or take it online: http://njaes.rutgers.edu/money/health-finance-quiz/ • Total your score • Identify your areas of strength (i.e., frequently performed positive health and financial practices) • Identify areas for improvement
  • 33. Question #5: Which Health Items Did You Score Highest On?
  • 34. Question #6: Which Financial Items Did You Score Highest On?
  • 35. Question #7: As a Result of Taking the Quiz, Which Health or Financial Practices Would You Like to Take Action On?
  • 36. Research Findings: Personal Health and Finance Quiz • Correlation of .463 between health behavior index (9 behaviors) and financial behavior index (9 behaviors) • Lowest average quiz score (health behavior): eating 3 ½ to 4 ½ cups of fruits and vegetables daily • Lowest average quiz score (financial behavior): following a spending plan • N = 942 https://www.onefpa.org/journal/Pages/MAR16-Propensity-to- Plan-A-Key-to-Health-and-Wealth.aspx
  • 37. More Research Findings • Studied relationships of positive health and finance practices that involve – A daily time expenditure (physical activity, eating at home) – Avoidance of negative behaviors (SSBs, payday loans) • Weak but statistically significant, relationships • Women had higher correlations than men for practices involving routine activities that involve a time expenditure and avoidance of negative behaviors • Forthcoming publication
  • 38. More Research Findings • Studied relationships between the practice of following a hand-written or computer-generated spending plan (budget) and positive health and financial behaviors • Positive and statistically significant relationships between budgeting and health and financial behaviors • Many quiz health items involve “budgeting” calories • Forthcoming publication
  • 39. Future Data Analyses • Will test personal finance score relationships with new nutrition label reading quiz item to build upon Carr et al. (2015) study • Continued study of the relationship of health and personal finance practices
  • 40. Graduate Student Master’s Thesis is Using the Quiz as a Data Source University of Kentucky MS degree graduate student/Extension agent, Laura White, using quiz to study the impact of a SSHW class series
  • 41. Small Steps to Health and Wealth™ Program Framework
  • 42. Why SSHW? Americans Have “Issues” • Overweight/obesity • Physical inactivity • Heart disease and diabetes • Low savings rates • High household debt/bankruptcy rates • Inadequate emergency reserves • Other?
  • 43. Retirement Savings • A third of people in the U.S. have NOTHING saved for retirement including 14% of those age 65+ and 26% of those age 50 to 64 (8/14 Bankrate.com survey) http://www.usatoday.com/story/money/personalfinance/2014/08 /18/zero-retirement-savings/14069937/ • 2016 EBRI Retirement Confidence Survey (RCS): 26% of workers have < $1,000 in retirement savings and 54% have < $25,000 (excluding house and DB pension: https://www.ebri.org/pdf/surveys/rcs/2016/EBRI_IB_422.Mar 16.RCS.pdf
  • 44. Fed Survey on Economic Well- Being of U.S. Households (7/14) http://www.federalreserve.gov/econresdata/2013-report- economic-well-being-us-households-201407.pdf • 25% of households “just getting by”; 13% struggling • 31% of respondents not retired had no savings or pension, including 19% age 55 to 64 • Only 39% of respondents had 3 months of expenses in savings
  • 45. Health Study: 6 in 10 Americans Drink Regularly; only 3 in 10 Get Regular Exercise (CDC Study) http://www.webmd.com/healthy-aging/news/20100316/good-vs- bad-health-habits-in-us • One in five adults were smokers • Six in 10 adults were obese or overweight • Three in 10 adults averaged 6 hours of sleep or fewer per night.
  • 46. Health and Finances Top New Year’s Resolutions • University of Scranton study: http://www.rochesterhomepage.net/story/top-new- years-resolutions-and-staying-with- them/d/story/puM2h0ppTUugrkw4qsx2YQ • Top 5 resolutions for 2014: 1. Lose weight 2. Get organized 3. Spend less, save more 4. Enjoy life to the fullest 5. Stay fit and healthy
  • 47. O’Neill Journal Articles For More Background Information The Forum For Family and Consumer Issues (2004) www.ces.ncsu.edu/depts/fcs/pub/9_3/smallsteps.html The Forum For Family and Consumer Issues (2014) http://ncsu.edu/ffci/publications/2014/v19-n1-2014- spring/oneil-ensle.php
  • 48. SSHW “Elevator Statement” Small Steps to Health and Wealth™ encourages participants to make positive behavior changes to simultaneously improve their health and personal finances.
  • 49. SSHW™ Framework: 25 Health & Wealth Behavior Change Strategies • Track Your Current Behavior • Unload Your Childhood Baggage • Put Your Mind To It • Commit to Making a Change • Defy Someone or Defy the Odds • Think Balance-Not Sacrifice • Control Your Destiny • Make Progress Every Day • Get Help and Be Accountable • Meet Yourself Halfway • Say “No” to Supersizing • Convert Consumption Into Labor • Compare Yourself With Benchmarks • Use Easy Frames of Reference • Automate Good Habits and Create Templates • Live “The Power of 10” • Take Calculated Risks and Conquer Fears • Appreciate Teachable Moments and Wake-Up Calls • Weigh the Costs and Benefits of Changing • Step Down to Change • Kick It Up a Notch • Control Your Environment • Monitor Your Progress & Reward Success • Expect Obstacles & Prepare For Relapses • Set a Date & Get Started…Just Do It!
  • 50. Each Strategy Has a Personalized Worksheet Examples: • Food and activity/ Income and expense logs • Visualization and positive self talk exercises • Defiance worksheets: health and wealth • Energy balance and money balance worksheets • Converting calories and spending into labor worksheets
  • 51. “The Jersey Diner Approach” to SSHW • Adopt strategies that work for you • Choose 3 to 4 (maximum) strategies
  • 52. 1. Track Your Current Behavior (Exercise, Eating, Spending) • Use a pedometer: – To determine current number of steps- then build up gradually – “Use your feet more and you can eat more” • Track foods eaten & calories consumed: – Use a “Calorie Counter” book for unlabeled foods • Track monthly income, expenses, & cash flow – Is spending or eating related to emotions? http://njaes.rutgers.edu/sshw/workbook/01_Track_Your_Current_Behavior.pdf
  • 53. 5. Defy Someone or Defy the Odds • Make a bet and win it • Prove someone wrong • Stop being a statistic! http://njaes.rutgers.edu/sshw/workbook/05_Defy_Someone_or_Defy_the_Odds.pdf
  • 54. 6. Think Balance- Not Sacrifice • Need to balance intake and outgo • Weight: Burn more calories than consumed • Savings: Earn more money than spent • More people today are “out of balance” • Changing just one habit can have big impact http://njaes.rutgers.edu/sshw/workbook/06_Think_Balance-Not_Sacrifice.pdf
  • 55. 8. Make Progress Everyday Any small step to improve your health or increase your wealth is better than doing nothing! http://njaes.rutgers.edu/sshw/workbook/08_Make_Progress_Every_Day.pdf
  • 56. Question #8: What are some things you can do daily to reach your health or financial goals?
  • 57. 9. Get Help and Be Accountable Sources of support to reach goals: • Friends, family, co-workers • Pets • Employers • Support groups http://njaes.rutgers.edu/sshw/workbook/09_Get_Help_and_Be_Accountable.pdf
  • 58. 10. Meet Yourself Halfway • Health: Decrease portion sizes of favorite foods by 1/3 to 1/2 and/or increase exercise – Eat half as much as you do now…gradually – Take leftovers from restaurant meals home • Finances: Reduce discretionary spending by 1/3 to 1/2 and/or increase income – Spend less than you do now – Look for less expensive options http://njaes.rutgers.edu/sshw/workbook/10_Meet_Yourself_Halfway.pdf
  • 59. 12. Convert Consumption (Calories, Spending) Into Labor • Health: How many hours of exercise are needed to burn off extra food? – Is eating a certain food “worth the calories?” • Finances: How many hours of work are needed in order to buy something (use after-tax dollars)? – Is buying something worth the time worked? http://njaes.rutgers.edu/sshw/workbook/12_Convert_Consumption_Into_Labor.pdf
  • 60. 13. Compare Yourself With Recommended Benchmarks • Health: – Body Mass Index (BMI) – 4 ½ cups of fruits and vegetables daily – Total cholesterol < 200 mg/dl • Finances: – Consumer debt-to-income ratio < 20% – Age times gross income divided by 10 (Stanley & Danko formula in The Millionaire Next Door) – Suggested asset allocations by age http://njaes.rutgers.edu/sshw/workbook/13_Compare_Yourself_With_Recommended_Benchmarks.pdf
  • 61. 15. Automate Good Habits and Create Templates • Health: Routine health screenings, nutritional shakes and “points” programs for weight loss, short programmed workouts (e.g., Curves) • Finances: Dollar-cost averaging investment deposits, employer retirement savings plan, Save More Tomorrow concept, direct deposit http://njaes.rutgers.edu/sshw/workbook/15_Automate_Good_Habits_and_Create_Templates.pd f
  • 62. 16. Live “The Power of 10” • Lose 10% of body weight • Walk 10,000 steps/day • Eat 100 calories less per day • Exercise in 10-minute intervals • Save $10 a week or month • Add $1/day to credit card payments •Invest some money in stock (average 10% return) http://njaes.rutgers.edu/sshw/workbook/16_Live_The_Power_of_10.pdf
  • 63. 19. Weigh the Costs and Benefits of Changing • Cost-benefit analysis: decision-making tool • Decisional Balance: weigh pros and cons of changing behavior • People take action when the pros of changing outweigh the cons • Decisions to change affect others http://njaes.rutgers.edu/sshw/workbook/19_Weigh_the_Costs_and_Benefits_of_Changing.pdf
  • 64. 20. Step Down to Change • Don’t cut out something completely • Find a better alternative http://njaes.rutgers.edu/sshw/workbook/20_Step_Down_to_Change.pdf Source of Figure: Dr. Alena Johnson, Utah State University
  • 65. Activity: Give an example to illustrate the “Step Down to Change” strategy.
  • 66. 21. Kick It Up a Notch! • Ramp up physical activity • Work up to 10,000 steps • Increase fruits and vegetables in diet • Do more of anything positive! • Transfer credit card balances to lower rate • Automatically increase savings at regular intervals • Add 1/12 of mortgage payment (P & I) monthly • Do more of anything positive! http://njaes.rutgers.edu/sshw/workbook/21_Kick_it_Up_a_Notch.pdf
  • 67. 52-Week Money Challenge • Starts with $1 and gradually ramps up $1 a week to 52 http://walton.ifas.ufl.edu/fcs/files/2014/01/52-Week-Money-Challenge.pdf
  • 68. 52-Week Youth Money Challenge • Gradually ramps up from $1 to $5 per week http://www.slideshare.net/BarbaraONeill/52-week-money-challenge-for-youth0315
  • 70. Activity: Give an example to illustrate the “Kick It Up a Notch” strategy.
  • 71. 25. Set a Date and Get Started… Just Do It! • Take the time to prepare properly • Identify and address obstacles • Set a realistic start or quit date • “Go public” with your commitment to change • Consider a “commitment contract” • Then…”just do it!” http://njaes.rutgers.edu/sshw/workbook/25_Set_a_Date_and_Get_Started--- Just_Do_It.pdf
  • 72. Select 3- 4 SSHW Strategies
  • 73. Question #9: Which SSHW Behavior Change Strategies Do You Like the Most?
  • 74. Small Steps to Health and Wealth™ Program Materials
  • 75. Recent SSHW Program Components • Second Edition SSHW workbook (2013) • SHHW workbook online for free downloading: http://njaes.rutgers.edu/money/ • SSHW Youth Curriculum (U of KY): http://www2.ca.uky.edu/agc/pubs/fcs5/fcs5451/fcs5451.PDF • SSHW Older Adult Curriculum (U of FL): http://njaes.rutgers.edu/sshw/internal/older-adults/Lesson-1- Living-Well-on-a-Shoestring-with-activities.pdf (Lesson 1)
  • 76. SSHW Web Site Features • Daily motivational messages for 9 competitive SSHW challenges (2010-2013) • SSHW book marketing information • SSHW Blog (U of CA) • SSHW Podcasts and videos (Colorado State University) • List of refereed journal articles and abstracts http://njaes.rutgers.edu/sshw/
  • 77. SSHW Monthly Messages • Monthly health message • Monthly financial message • All prior messages since 2007 are archived on the SSHW Web site: http://njaes.rutgers.edu/sshw • ALL health and financial educators are invited- and encouraged- to write SSHW messages – Message are archived to be able to list on CVs – Writing helps build national recognition!
  • 78. SSHW Workplace Wellness Newsletters • Available for free downloading on Rutgers Web Site: http://njaes.rutgers.edu/sshw/ • 26 newsletters: Introduction and 25 behavior change strategies • Introductory newsletter: http://njaes.rutgers.edu/sshw/pdfs/workforce- newsletter/Introduction.pdf
  • 79. SSHW Animated Videos • Ten animated SSHW videos are archived at http://www.youtube.com/user/moneytalkBMO
  • 80. Sample SSHW Videos • Video about SSHW Book: https://www.youtube.com/watch?v=PpYMxgZCtZ8 • “Kick It Up a Notch” Strategy: https://www.youtube.com/watch?v=Jejh1h7CQpY
  • 84. Other Resources: Health Assessment Tools • Healthy Behaviors Quiz (Indiana University) http://www.weighttalk.net/iu/about-the-program/healthy-behaviors-quiz/ This quiz asks a series of five questions about healthy behaviors practiced on a regular basis. • Interactive Games, Quiz, and Videos (Academy of Nutrition and Dietetics) http://www.eatright.org/nnm/games/#.U57HNU1OWM8 This Web page includes six interactive programs to teach health and nutrition topics to youth and adults. • Nutrition and Activity Quiz (American Cancer Society) http://www.cancer.org/healthy/toolsandcalculators/quizzes/nutrition-activity-quiz/ This quiz consists of 12 questions about daily behaviors that are taken to live a healthy lifestyle. • 360 Degree Gut Check (Live Well Colorado) http://livewellcolorado.org/healthy-living/360-gut-check/behavior-quiz This Web page includes three different health behavior assessment quizzes for adults, children, and families.
  • 85. Other Resources: Financial Assessment Tools • Financial Fitness Quiz (Rutgers Cooperative Extension) http://njaes.rutgers.edu/money/ffquiz/ This 20-question online multiple choice quiz provides a self-assessment of personal finance practices. • Financial Fitness Quiz (Virginia Society of Certified Public Accountants) http://www.vscpa.com/Content/59148.aspx This 20-question online true-false quiz provides a self-assessment of personal finance practices. • Personal Finance Quizzes (Money Tools: Personal Finance News and Information) http://moneytools.org/personal-finance-quizzes This Web page includes a wide variety of interactive quizzes on personal finance topics. • Saver Checklist (America Saves) http://americasaves.org/for-savers/savings-tools-and-resources/saver-checklist-tool This checklist of personal finance behaviors includes characteristics of successful savers.
  • 87. What is one significant thing you learned today? 87
  • 88. Key Take-Aways • Health and personal finances are interrelated • Personality traits impact health and financial behaviors • Many Americans have health and/or personal finance “issues” • The Personal Health and Finance Quiz assesses the frequency of individuals’ health and financial behaviors • SSHW teaches behavior change strategies in an interdisciplinary manner
  • 89. “The Greatest Wealth is Health” Virgil (BC)
  • 90. Find all upcoming and recorded webinars covering: Personal Finance Military Caregiving Family Development Family Transitions Network Literacy Nutrition & Wellness Community Capacity Building This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587. www.extension.org/62581