Latest / Dr Justin Coulson's Happy Families / Just Do Something - The Ultimate Wellness Hack
Transcript
- 0:06Speaker 1: Increasingly people are focused on well-being well-being has been the
- 0:09Speaker 1: buzzword for at least a decade and yet there are
- 0:12Speaker 1: so many different pathways to well-being people are very curious
- 0:16Speaker 1: about what is going to give maximum bang for buck
- 0:19Speaker 1: plus so many well-being quote-unquote interventions now cost money what's
- 0:24Speaker 1: the best way to boost your well-being how can you
- 0:28Speaker 1: be quote-unquote happier and help your kids to get there
- 0:31Speaker 1: as well especially if they're struggling Today, it's a doctor's
- 0:34Speaker 1: desk episode on the Happy Families podcast, where we unpack
- 0:37Speaker 1: the latest meta-analysis, systematic review in the journal Nature, looking
- 0:44Speaker 1: at randomized controlled trials of wellbeing-focused interventions. Oh, I just
- 0:49Speaker 1: love it when I get to talk science. That's coming
- 0:51Speaker 1: up next on the Happy Families podcast. Stay with us. G'day,
- 0:56Speaker 1: welcome to the Happy Families podcast. We're Justin and Kylie Coulson.
- 0:59Speaker 1: This is Australia's most downloaded parenting podcast. today some positive
- 1:04Speaker 1: parenting solutions to help boost your well-being kylie you get
- 1:09Speaker 1: so excited every time we get to talk science i
- 1:11Speaker 1: get to dive into the latest research today we are
- 1:13Speaker 1: really going to kick off a big one published at
- 1:16Speaker 1: the start of this year in nature which is one
- 1:18Speaker 1: of the world's most prestigious journals a systematic review and
- 1:23Speaker 1: network meta-analysis of randomized controlled trials well-being focused interventions by
- 1:27Speaker 1: laurie wilkie and colleagues how exciting does that sound I'm
- 1:31Speaker 1: so excited. I know. I can see the goosebumps on
- 1:34Speaker 1: your arms as you heard me read out that scientific title.
- 1:37Speaker 1: It just sounds so, so good. Where do you want
- 1:41Speaker 1: to start with this one? There's a lot to talk about.
- 1:43Speaker 2: Well, I think the best place to start is at
- 1:45Speaker 2: the beginning. What did they do?
- 1:47Speaker 1: Fair enough. So basically, the best studies are the ones
- 1:51Speaker 1: where we do a systematic review. That means we go
- 1:54Speaker 1: through all the research literature and a meta-analysis. That means
- 1:57Speaker 1: that we're literally looking at all of the studies that
- 1:59Speaker 1: do this thing. randomized controlled trials of course being the
- 2:03Speaker 1: gold standard as well so these are the very best
- 2:05Speaker 1: studies and it's a whole bunch of them all being
- 2:08Speaker 1: analyzed you know how people say oh you can get
- 2:11Speaker 1: you can get a study to tell you anything well
- 2:13Speaker 1: this time we're looking at 183 well-being randomized controlled trials
- 2:19Speaker 1: so it's a big meta-analysis big synthesis of all the
- 2:22Speaker 1: literature looking at interventions for wellbeing in adults without diagnosed conditions. Okay.
- 2:29Speaker 1: So we're talking about mentally healthy adults.
- 2:31Speaker 2: There's a lot of groups here. Are the randomized studies
- 2:35Speaker 2: done in different places at different times with different researchers?
- 2:39Speaker 1: That's exactly right.
- 2:40Speaker 2: Right. Okay.
- 2:41Speaker 1: And that's why these are so powerful because if one
- 2:44Speaker 1: researcher gets a certain effect and they keep on doing
- 2:46Speaker 1: these studies and they keep getting that effect, but no
- 2:48Speaker 1: one else does, we call that an experimental expectancy effect.
- 2:51Speaker 1: People show up and the experimenter expects something's going to
- 2:54Speaker 1: happen and people kind of, it always becomes a self-fulfilling prophecy.
- 2:58Speaker 1: Even if they haven't communicated that, there's something that happens
- 3:00Speaker 1: there that's really quite strange. But when you get a
- 3:04Speaker 1: whole lot of studies from all over the world, from
- 3:06Speaker 1: different research labs, looking at the same problem, but in
- 3:10Speaker 1: slightly different ways, you pull it all together.
- 3:13Speaker 2: You're taking different cultural contrasts in as well. Yes. Yeah.
- 3:17Speaker 1: And that's where the power of these big literature syntheses
- 3:20Speaker 1: and meta-analyses really plays out. So I'm fascinated by this
- 3:24Speaker 1: study because- So how many did you say? 183 trials. 183.
- 3:28Speaker 1: We're talking about close to 23,000 different participants from all
- 3:31Speaker 1: over the world in these well-being trials.
- 3:35Speaker 2: So you'd have to believe that there's kind of some
- 3:37Speaker 2: truth in here.
- 3:38Speaker 1: We can unpack some truth. That's right. We can talk
- 3:41Speaker 1: about it.
- 3:42Speaker 2: So what were the well-being interventions they actually did?
- 3:45Speaker 1: They had a look at a bunch of them. So
- 3:47Speaker 1: all of these studies, they include psychological interventions, something called
- 3:50Speaker 1: acceptance and commitment therapy, which is a very popular form
- 3:53Speaker 1: of therapy, mindfulness-based interventions, compassion-based interventions. They were looking at
- 3:59Speaker 1: the effect of exercise, yoga, educational interventions, nature-based programs. And
- 4:06Speaker 1: they even did an analysis of doing an approach where
- 4:09Speaker 1: they combined exercise and psychological intervention at the same time.
- 4:13Speaker 1: So this is thorough. There's a lot going on.
- 4:15Speaker 2: I haven't read your paper. No. And I have not
- 4:18Speaker 2: been a participant in any of these. But I would
- 4:22Speaker 2: think that based on all of the interventions you're talking about,
- 4:26Speaker 2: there's going to be positive outcomes across the board because
- 4:31Speaker 2: whenever we do anything out of the norm to connect–
- 4:35Speaker 2: with self and to become more aware, it feels like progress.
- 4:41Speaker 1: So the research has found in all of these randomized
- 4:43Speaker 1: controlled trials, the overall effect was when you do anything,
- 4:48Speaker 1: it improves your well-being compared with people who aren't doing
- 4:50Speaker 1: anything at all. Yeah.
- 4:51Speaker 2: I know from my own personal experience, I can go
- 4:53Speaker 2: for a 5K run, which kills me, but I still
- 4:57Speaker 2: feel really good for having done it at the other end.
- 4:59Speaker 2: Or I can go for a walk down at the
- 5:00Speaker 2: beach and I'm not using half the amount of energy,
- 5:04Speaker 2: but I still feel better- for having done that than
- 5:07Speaker 2: sitting on the couch.
- 5:08Speaker 1: After the break, I'm going to go through precisely what
- 5:10Speaker 1: they found because some things do work better than others.
- 5:13Speaker 1: But the good news is they all work. And I'm
- 5:15Speaker 1: going to talk about the implications of that as well.
- 5:17Speaker 1: That's next. Stay with us. We're back. It's the Happy
- 5:26Speaker 1: Families podcast. Want to be happier? Want to have higher
- 5:29Speaker 1: levels of well-being? The evidence says just do something. Just
- 5:32Speaker 1: do something and you'll probably do really well. Kylie, I
- 5:35Speaker 1: want to go through these results. They actually do matter
- 5:37Speaker 1: and they are quite relevant if people are trying to
- 5:39Speaker 1: work out, well, where am I going to get the
- 5:40Speaker 1: best bang for buck? So the best way to boost
- 5:44Speaker 1: your well-being is to do exercise, but combine that with
- 5:49Speaker 1: some kind of psychological intervention. Now, that might be listening
- 5:51Speaker 1: to great podcasts. It might be doing some relationship building.
- 5:54Speaker 1: It might be meeting with a therapist once a month.
- 5:57Speaker 1: But doing something where you're moving your body seems to
- 6:00Speaker 1: be the best way to boost well-being, especially when you
- 6:03Speaker 1: combine it with some kind of psychological intervention. The next
- 6:06Speaker 1: best thing were things like mindfulness, compassion, working on positive
- 6:14Speaker 1: psychology kinds of stuff. That's gratitude and optimism and focusing
- 6:20Speaker 1: on strengths and all those sorts of things. Yoga and
- 6:22Speaker 1: exercise interventions demonstrated moderate, consistent effects, and there was no
- 6:28Speaker 1: significant difference between any of those interventions. They all just
- 6:31Speaker 1: kind of worked. The one thing that surprised me that
- 6:35Speaker 1: didn't work nearly as well as all the other stuff
- 6:38Speaker 1: was nature-based interventions. They weren't significantly better than controls in
- 6:43Speaker 1: the meta-analysis, which means all the forest bathing or the
- 6:48Speaker 1: sitting somewhere quiet and just soaking up nature, that stuff
- 6:51Speaker 1: didn't have the same positive outcome.
- 6:55Speaker 2: So were they doing forest bathing and combining that with
- 6:58Speaker 2: some kind of psychological?
- 7:00Speaker 1: No, no, it was purely the nature-based intervention.
- 7:02Speaker 2: Yeah, I was going to say, because I think that
- 7:05Speaker 2: the more you understand about yourself, the more you are
- 7:08Speaker 2: able to process things better, and the more you're able
- 7:12Speaker 2: to appreciate quiet and stillness. If you don't have self-awareness
- 7:17Speaker 2: or the tools in your toolkit to help you do
- 7:20Speaker 2: those things, then often the silence is actually more noise,
- 7:25Speaker 2: if that makes sense, because you've just got so much
- 7:27Speaker 2: going on. Yeah, yeah.
- 7:28Speaker 1: That default mode network in your brain kicks into high
- 7:31Speaker 1: gear and you're like, whoa. That may be part of it,
- 7:33Speaker 1: although the researchers argued it was something else. Okay. They
- 7:37Speaker 1: said that there was a high level of what they
- 7:38Speaker 1: call methodological heterogeneity. In other words- In other words, the
- 7:43Speaker 1: methodology for all the studies was too different, and they
- 7:46Speaker 1: were studying too many different variables for them to get
- 7:49Speaker 1: a really clear and concise measure of what's going on.
- 7:51Speaker 2: That's fair.
- 7:51Speaker 1: So I would actually argue that those kinds of nature-based
- 7:55Speaker 1: interventions can and do work, but they weren't able to
- 7:58Speaker 1: study it the way they needed to in here. Having
- 8:01Speaker 1: said that, they didn't find it, so we have to
- 8:03Speaker 1: report that accurately and appropriately. So what does this mean
- 8:07Speaker 1: for us? It basically means that if you would like
- 8:09Speaker 1: to increase your well-being... Do something. Do something.
- 8:13Speaker 2: Just do something.
- 8:13Speaker 1: But do it consistently. If you can't do it every day,
- 8:16Speaker 1: do it five times a week. And if you can't
- 8:18Speaker 1: do it five times a week, do it at least
- 8:19Speaker 1: three times a week. And like you said before, Kylie,
- 8:22Speaker 1: whether it's a walk, spending some time in the park
- 8:25Speaker 1: or laying on the trampoline, staring at the clouds, whether
- 8:28Speaker 1: it's meditation, whether it's yoga or exercise or learning about
- 8:35Speaker 1: mindfulness or learning about the psychology of compassion or or
- 8:40Speaker 1: meeting with somebody and doing some self-work. It all works.
- 8:45Speaker 1: It all works. You've just got to be consistent and
- 8:47Speaker 1: do it frequently. That's my very happy news from the
- 8:50Speaker 1: doctor's desk today.
- 8:52Speaker 2: When I first started learning about just how to kind
- 8:57Speaker 2: of work through my own challenges and create a toolkit
- 9:01Speaker 2: that would work for me, I thought that I had
- 9:04Speaker 2: to do it every day, that I had to be
- 9:07Speaker 2: kind of that consistent. that, so that it would make
- 9:12Speaker 2: a difference. And over time, it wasn't my reality. I'm
- 9:19Speaker 2: a mom of six kids and a grandbaby. You are
- 9:22Speaker 2: gone a lot. And so the idea that I would
- 9:25Speaker 2: have this heavenly, you know, kind of hour or two
- 9:28Speaker 2: to myself in the mornings before everybody got up and
- 9:31Speaker 2: that I would be able to just have that stillness
- 9:34Speaker 2: and have that meditation time and, you But what I
- 9:40Speaker 2: found is as I have become consistent with it, that
- 9:43Speaker 2: even if I only do it once or twice a week,
- 9:46Speaker 2: the shifts that it helps me in are massive compared
- 9:50Speaker 2: to not doing it. And I notice it more when
- 9:53Speaker 2: I haven't done it. And I've actually gone to you
- 9:56Speaker 2: and just said, I'm falling to pieces.
- 9:58Speaker 1: I just need to do that thing. I've got to
- 10:00Speaker 1: back yeah yep yep uh do the thing do the
- 10:03Speaker 1: thing it will make you happier ideally it won't add
- 10:05Speaker 1: stress to your life we will link to the article
- 10:07Speaker 1: in the show notes although if you're anything like kylie
- 10:10Speaker 1: you don't need to read the article you just need
- 10:12Speaker 1: to do the thing i just like reading the articles
- 10:15Speaker 1: That's our Doctor's Desk episode for today. Thanks so much
- 10:17Speaker 1: for joining us. The Happy Families podcast will be back tomorrow.
- 10:20Speaker 1: It's produced by Justin Rulon from Bridge Medium. M. Hammonds
- 10:22Speaker 1: provides our admin and other support. If you would like
- 10:26Speaker 1: more info to make your family happier, visit happyfamilies.com.au.