{"id":2819,"date":"2020-01-02T09:06:15","date_gmt":"2020-01-02T16:06:15","guid":{"rendered":"https:\/\/www.wellsteps.com\/blog\/?p=2819"},"modified":"2026-03-19T14:20:36","modified_gmt":"2026-03-19T20:20:36","slug":"therapeutic-lifestyle-change-tlc","status":"publish","type":"post","link":"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/","title":{"rendered":"Therapeutic Lifestyle Change (TLC): A Wellness Program Essential"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title ez-toc-toggle\" style=\"cursor:pointer\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#What_is_Therapeutic_Lifestyle_Change_TLC\" >What is Therapeutic Lifestyle Change (TLC)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#How_Effective_is_Therapeutic_Lifestyle_Change\" >How Effective is Therapeutic Lifestyle Change?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#Should_Therapeutic_Lifestyle_Change_be_part_of_every_worksite_wellness_program\" >Should Therapeutic Lifestyle Change be part of every worksite wellness program?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#Why_should_employers_consider_adding_TLC_to_their_wellness_strategy\" >Why should employers consider adding TLC to their wellness strategy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#Why_is_Therapeutic_Lifestyle_Change_often_considered_a_missing_piece_in_wellness_programs\" >Why is Therapeutic Lifestyle Change often considered a missing piece in wellness programs?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#How_can_employees_participate_in_a_TLC_program\" >How can employees participate in a TLC program?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#What_areas_does_Therapeutic_Lifestyle_Change_address\" >What areas does Therapeutic Lifestyle Change address?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#What_evidence_shows_that_Therapeutic_Lifestyle_Change_works\" >What evidence shows that Therapeutic Lifestyle Change works?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#What_level_of_commitment_does_a_TLC_program_require\" >What level of commitment does a TLC program require?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#What_do_participants_say_about_their_experience_with_the_WellSteps_TLC_program\" >What do participants say about their experience with the WellSteps TLC program?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"#\" data-href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n\n<blockquote class=\"wp-block-quote executive-summary is-layout-flow wp-block-quote-is-layout-flow\" style=\"border-width:1px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--50);font-size:17px\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p style=\"font-size:20px\"><strong>Executive Summary<\/strong><\/p>\n\n\n\n<div class=\"wp-block-group executive-summary\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p style=\"font-size:18px\"><strong>Why should Therapeutic Lifestyle Change (TLC) be part of every worksite wellness program?<\/strong><\/p>\n<\/div><\/div>\n\n\n\n<p class=\"executive-summary\" style=\"font-size:16px\">Therapeutic Lifestyle Change (TLC) should be part of every worksite wellness program because most employees already have at least one major health risk. In a typical group of 100 employees, many have obesity, high blood pressure, high cholesterol, or elevated blood glucose, and those with all four face the highest risk for heart disease, known as metabolic syndrome. These elevated risks drive higher rates of chronic disease, absenteeism, workers\u2019 compensation claims, and healthcare costs. TLC directly targets these root risk factors, making it one of the most effective ways workplaces can improve employee health and reduce long-term costs.<\/p>\n<\/div><\/div>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-therapeutic-lifestyle-change-tlc\"><span class=\"ez-toc-section\" id=\"What_is_Therapeutic_Lifestyle_Change_TLC\"><\/span>What is Therapeutic Lifestyle Change (TLC)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Therapeutic Lifestyle Change is a set of tools, diet information, ideas, and programming designed to help individuals lower elevated health risks. TLC programs, as part of an overall wellness program, help individuals reduce the risk for heart disease through eating a health promoting diet and being active. A TLC diet is&nbsp;low in saturated fat, trans fat, and dietary cholesterol.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/fats-healthy.bmp\"><img decoding=\"async\" width=\"1500\" height=\"1000\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/fats-healthy.bmp\" alt=\"TLC diet\" class=\"wp-image-2935\" style=\"width:457px;height:304px\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>An effective TLC program is more like a workshop or online course than a simple wellness challenge or brochure. A good TLC program is an in-depth immersion into why and how a healthy lifestyle can reduce elevated health risks.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-effective-is-therapeutic-lifestyle-change\"><span class=\"ez-toc-section\" id=\"How_Effective_is_Therapeutic_Lifestyle_Change\"><\/span>How Effective is Therapeutic Lifestyle Change?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Here\u2019s what some of the <a href=\"https:\/\/www.nhlbi.nih.gov\/files\/docs\/public\/heart\/chol_tlc.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">research shows<\/a> about the impact of TLC. There is even evidence that a TLC program is helpful in the <a href=\"http:\/\/tlc.ku.edu\/\" target=\"_blank\" rel=\"noreferrer noopener\">treatment of depression<\/a> and <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26077375\" target=\"_blank\" rel=\"noreferrer noopener\">diabetes<\/a>. Employees who will decrease their saturated fat to less than 7% of total calories can reduce their LDL-cholesterol by 10%. &nbsp;Here are the documented effects of Therapeutic Lifestyle Change on blood cholesterol.<\/p>\n\n\n\n<div class=\"table-responsive\">\n<table class=\"table table-bordered table-striped\" style=\"width: 627px; height: 173px;\">\n<thead>\n<tr>\n<th>&nbsp;<\/th>\n<th>Change<\/th>\n<th>LDL Reduction<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><a href=\"https:\/\/medlineplus.gov\/ency\/patientinstructions\/000838.htm#:~:text=To%20further%20reduce%20your%20heart,9%20g%20of%20saturated%20fat.\">Saturated fat<\/a><\/td>\n<td>Decrease to less than 7% of calories<\/td>\n<td>8-10%<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/web.archive.org\/web\/20260307210013\/https:\/\/www.mayoclinic.org\/healthy-lifestyle\/nutrition-and-healthy-eating\/in-depth\/fat\/art-20045550\">Dietary cholesterol<\/a><\/td>\n<td>Decrease to less than 200 mg\/day<\/td>\n<td>3-5%<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.nhlbi.nih.gov\/health\/educational\/lose_wt\/BMI\/bmicalc.htm\">Weight<\/a><\/td>\n<td>Lose 10 pounds if higher than recommended weight<\/td>\n<td>5-8%<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/web.archive.org\/web\/20260314154138\/https:\/\/www.mayoclinic.org\/healthy-lifestyle\/nutrition-and-healthy-eating\/in-depth\/fiber\/art-20043983\">Soluble fiber<\/a><\/td>\n<td>Add 5-10 grams\/day<\/td>\n<td>3-5%<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/web.archive.org\/web\/20260209045912\/https:\/\/www.mayoclinic.org\/diseases-conditions\/high-blood-cholesterol\/in-depth\/cholesterol\/art-20045192?pg=2\">Plant sterols\/stanols<\/a><\/td>\n<td>Add 2 grams\/day<\/td>\n<td>5-15%<\/td>\n<\/tr>\n<tr>\n<td><strong>TOTAL<\/strong><\/td>\n<td>&nbsp;<\/td>\n<td><strong>20-30% reduction<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n\n\n<p>Done right, a Therapeutic Lifestyle Change&nbsp;<a href=\"https:\/\/web.archive.org\/web\/20230829233802\/https:\/\/www.cdc.gov\/nutrition\/downloads\/r2p_life_change.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">can be effective<\/a> at reducing elevated cholesterol, blood pressure, blood glucose, and body fat without medication.<\/p>\n\n\n\n<figure><img decoding=\"async\" class=\"alignnone wp-image-101778 size-full\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2020\/01\/22dde942f55fa6ebeb442a7251a9d3ac.therapeutic-lifestyle-change-2.jpg\" alt=\"therapeutic lifestyle change\" width=\"768\" height=\"464\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-should-therapeutic-lifestyle-change-be-part-of-every-worksite-wellness-program\"><span class=\"ez-toc-section\" id=\"Should_Therapeutic_Lifestyle_Change_be_part_of_every_worksite_wellness_program\"><\/span>Should Therapeutic Lifestyle Change be part of every worksite wellness program?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>In a typical group of 100 employees, 29 have obesity, 21 have high blood pressure, 17 have high cholesterol, and 9 have elevated blood glucose. These are the <a href=\"https:\/\/www.cdc.gov\/brfss\/brfssprevalence\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\">average health risks<\/a> for most adults.&nbsp;Some worksites are worse than others.<\/p>\n\n\n\n\n\n<p>The majority of working adults have at least one of these health risks, most have more than one. Employees who have the highest risk for cardiovascular disease have all four risk factors.&nbsp;This is also known as <a href=\"https:\/\/web.archive.org\/web\/20240611013922\/https:\/\/www.heart.org\/en\/health-topics\/metabolic-syndrome\/about-metabolic-syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">metabolic syndrome<\/a>.<\/p>\n\n\n\n<p>The high prevalence of elevated health risks is one reason why adults have more chronic diseases now than ever before. Employees with elevated health risks are more likely to be <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18331420\" target=\"_blank\" rel=\"noreferrer noopener\">absent from work<\/a>. Additionally, they have <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24779722\" target=\"_blank\" rel=\"noreferrer noopener\">workers&#8217; comp claims<\/a>&nbsp;and <a href=\"https:\/\/www.wellsteps.com\/blog\/2017\/05\/26\/wellness-health-care-costs\/\" target=\"_blank\" rel=\"noreferrer noopener\">higher health care costs.<\/a><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" src=\"https:\/\/web.archive.org\/web\/20220531111855\/https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2019\/05\/SecondhandSmoke700-e1556858532835.jpg\" alt=\"Therapeutic Lifestyle Change\" style=\"width:402px;height:230px\"\/><\/figure>\n<\/div>\n\n\n<p>The dangers of having elevated health risks are why worksite wellness programs encourage employees to do biometric screenings. These &#8220;know your numbers&#8221; campaigns help employees identify elevated health risks.<\/p>\n\n\n\n<p>Typically, an employee who has recently received their biometric data will get a chance to visit with a&nbsp;nurse or a health coach. The results will be discussed and some recommendations will be made. Typically, the employee will walk away with a brochure and encouragement to visit with a primary care provider.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/08\/private-label-wellness.jpg\" alt=\"Therapeutic Lifestyle Change\" style=\"width:423px;height:193px\"\/><\/figure>\n<\/div>\n\n\n<p>Knowing your numbers is a great practice for all adults, but in worksites, getting screened is just the first step. It\u2019s <a href=\"https:\/\/www.wellsteps.com\/blog\/2016\/07\/11\/how-to-do-biometric-screening\/\" target=\"_blank\" rel=\"noreferrer noopener\">what comes after the screening<\/a> that is so important. <em>This is the vital piece almost all worksite wellness programs are missing.<\/em><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Wellness programs are great at helping employees &#8220;know your numbers&#8221;. &nbsp;What they are missing is interventions designed to lower health risks. That&#8217;s what Therapeutic Lifestyle Change does.<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-why-should-employers-consider-adding-tlc-to-their-wellness-strategy\"><span class=\"ez-toc-section\" id=\"Why_should_employers_consider_adding_TLC_to_their_wellness_strategy\"><\/span>Why should employers consider adding TLC to their wellness strategy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Employees with elevated health risks will be encouraged to seek medical attention. The&nbsp;<a href=\"http:\/\/www.nhlbi.nih.gov\/health-pro\/guidelines\/current\/cholesterol-guidelines\/quick-desk-reference-html\" target=\"_blank\" rel=\"noreferrer noopener\">proper medical treatment protocol<\/a>&nbsp;for elevated cholesterol and blood pressure is to first start with Therapeutic Lifestyle Change&nbsp;<a href=\"https:\/\/www.nhlbi.nih.gov\/files\/docs\/public\/heart\/chol_tlc.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">(TLC)<\/a>.&nbsp;<\/p>\n\n\n\n<p>This is a fancy way of saying adopting and maintaining a healthy lifestyle. This is the correct approach to take with&nbsp;elevated health risks because, after all, the elevated health risks are almost always just a symptom of unhealthy behaviors.<\/p>\n\n\n\n<p>If individual employees with elevated health risks adopt and maintain habits, improvements&nbsp;in their&nbsp;health risks will occur.  These habits include good nutrition and regular physical activity. In worksites, and sadly in doctors&#8217; offices, most people never hear about TLC.<\/p>\n\n\n\n<p>Sometimes employees are given some encouraging conversation, motivation, and perhaps a chance to visit with a health coach. Most of the time, they are given a prescription for a risk lowering medication will need to be taken for the remainder of their lives.&nbsp;<\/p>\n\n\n\n<p>Options in worksite wellness programs are limited with Therapeutic Lifestyle Changes. Even the medical community is slow to promote TLC.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/web.archive.org\/web\/20220531111839\/https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/04\/dia-e1523818353100.jpg\" alt=\"Therapeutic Lifestyle Change\"\/><\/figure>\n<\/div>\n\n\n<p>Doctors are not reimbursed to have conversations with their patients. Many doctors don\u2019t spend much time talking about lifestyle therapy with their patients because they don\u2019t believe patients will actually change behaviors. Worse, even if a physician did want to discuss TLC with his or her patient, there are few formal TLC programs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-why-is-therapeutic-lifestyle-change-often-considered-a-missing-piece-in-wellness-programs\"><span class=\"ez-toc-section\" id=\"Why_is_Therapeutic_Lifestyle_Change_often_considered_a_missing_piece_in_wellness_programs\"><\/span>Why is Therapeutic Lifestyle Change often considered a missing piece in wellness programs?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>To help employees with elevated health risks, most wellness programs offer challenges, courses, or coaching designed to help employees and their significant others improve nutrition habits and exercise patterns. Unfortunately, these relatively simple offerings aren&#8217;t always sufficient to help employees make large, sustainable improvements in elevated health risks.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/08\/wellness-career.jpg\" alt=\"Therapeutic Lifestyle Change\" style=\"width:420px;height:279px\"\/><\/figure>\n<\/div>\n\n\n<p>The hardest thing for people to do is to change behaviors. Elevated blood cholesterol, blood pressure, and blood glucose doesn\u2019t just happen overnight. These elevated health risks develop over decades of exposure to unhealthy lifestyles. Since it takes decades to develop these elevated health risks and the habits that precede them, reversing the process takes concerted, long-term effort.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-can-employees-participate-in-a-tlc-program\"><span class=\"ez-toc-section\" id=\"How_can_employees_participate_in_a_TLC_program\"><\/span>How can employees participate in a TLC program?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The National Institutes of Health have produced a nice <a href=\"https:\/\/www.wellsteps.com\/images\/stories\/manuscripts\/chip%206%20weeks.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">brochure<\/a> that describes the various components of a TLC program, but again, this is just a brochure. &nbsp;Employees need an organized, comprehensive, easy to follow program that takes them through everything they need to lower their elevated health risks. &nbsp;<\/p>\n\n\n\n<p>Effective TLC programs are thorough. First, they teach individuals all the specific skills and tools they need to make dietary changes that last. Second, they help individuals overcome the common barriers to healthy eating and regular exercise. And most importantly, they are grounded in behavior change science.<\/p>\n\n\n\n<p>Staying true to the earlier research and current science, WellSteps has developed <strong><a href=\"https:\/\/www.wellsteps.com\/wellsteps-tlc\" target=\"_blank\" rel=\"noreferrer noopener\">WellSteps TLC<\/a><\/strong>. WellSteps TLC is a lifestyle change program that consists of extensive behavior change programming that specifically targets employee nutrition and physical activity.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/TLC-mobile-device.bmp\"><img decoding=\"async\" width=\"2974\" height=\"889\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/TLC-mobile-device.bmp\" alt=\"Therapeutic Lifestyle Change video modules\" class=\"wp-image-2942\" style=\"width:457px;height:136px\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>It includes all of the education, tools and strategies, motivation, and support from others that individuals need to successfully adopt healthy behaviors. It is a clinically backed program that teaches and encourages changes in nutrition and physical activity that result in&nbsp;lower employee health risks.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-areas-does-therapeutic-lifestyle-change-address\"><span class=\"ez-toc-section\" id=\"What_areas_does_Therapeutic_Lifestyle_Change_address\"><\/span>What areas does Therapeutic Lifestyle Change address?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The WellSteps TLC program consists of 17 behavior change video modules. Each TLC module includes behavior change tasks, and social support.&nbsp;Participants can participate via computer or using any mobile device. Each module is interactive and participants must complete simple behavior change tasks before they can progress to the next&nbsp;module.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/TLC-landing-page.bmp\"><img decoding=\"async\" width=\"1028\" height=\"1826\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/TLC-landing-page.bmp\" alt=\"Therapeutic Lifestyle Change\" class=\"wp-image-2945\" style=\"width:432px;height:767px\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>Each time employees participate, they can interact with others who are working through the same lifestyle transformation. The program includes healthy recipes, cooking and food shopping ideas, and discussions from behavior change experts.<\/p>\n\n\n\n<p>If an individual still has elevated health risks after participating in TLC, it\u2019s time to visit with a healthcare provider about starting a regimen of risk-reducing medications. Medications are effective at reducing elevated health risks, and they have the ability to reduce the prevalence of chronic diseases.<\/p>\n\n\n\n<p>However, medications do not address the underlying problem: unhealthy behaviors. Good health and a long, high-quality life requires a healthy lifestyle.<\/p>\n\n\n\n<p>TLC is the first step that everyone should be taking to improve their health. If those efforts fail, it\u2019s time for employees and their spouses to work with their healthcare provider to get more aggressive.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-evidence-shows-that-therapeutic-lifestyle-change-works\"><span class=\"ez-toc-section\" id=\"What_evidence_shows_that_Therapeutic_Lifestyle_Change_works\"><\/span>What evidence shows that Therapeutic Lifestyle Change works?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Worksites are not the first groups to deploy a Therapeutic Lifestyle Change program. A few years ago, some researchers and I conducted a randomized clinical trial with over 300 people who were part of a TLC program. Half of the people participated in the TLC program and the other half waited for six months before they could begin.<\/p>\n\n\n\n<p>TLC program participants learned why and how to have a healthy lifestyle. Participants dramatically improved the number of daily fruit, vegetable, and whole grain servings, and they reduced their intake of saturated fat. They also increased their physical activity by 25%.<\/p>\n\n\n\n<p>We were stunned to learn that health risks could improve dramatically&nbsp;<a href=\"https:\/\/www.wellsteps.com\/images\/stories\/manuscripts\/chip%206%20weeks.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">in as little as six weeks<\/a>. Those who maintained healthy behaviors experienced lower health risks for six weeks,&nbsp;<a href=\"https:\/\/www.cdc.gov\/PCD\/issues\/2008\/jan\/pdf\/07_0031.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">six months, 12 months, and even out to 18 months<\/a>&nbsp;after this program began. Participants learned how to successfully adopt and maintain healthy lifestyles. Their diets changed and their physical activity habits improved.<\/p>\n\n\n\n<p>But it gets better. The individuals who were at risk at baseline and participated in this program saw significant decreases in hypertension, blood cholesterol, and blood glucose. Most of the participants demonstrated significant weight loss as well. This study has been reported in <a href=\"https:\/\/www.wellsteps.com\/wellsteps-research\" target=\"_blank\" rel=\"noreferrer noopener\">multiple scientific journals<\/a>.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" width=\"959\" height=\"689\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/Systolic-TLC.bmp\" alt=\"Therapeutic Lifestyle Change wellness program works\" class=\"wp-image-2922\" style=\"width:422px;height:303px\"\/><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" width=\"1021\" height=\"687\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/LDL-TLC.bmp\" alt=\"TLC wellness program works\" class=\"wp-image-2921\" style=\"width:418px;height:282px\"\/><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" width=\"941\" height=\"699\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2017\/07\/Glucos-TLC.bmp\" alt=\"TLC wellness program works\" class=\"wp-image-2920\" style=\"width:409px;height:303px\"\/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\"><a href=\"https:\/\/www.wellsteps.com\/images\/stories\/manuscripts\/chip%206%20weeks.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Source<\/a><\/p>\n\n\n\n<p>Therapeutic Lifestyle Change programs are a proven, effective way for wellness programs to dramatically improve employee health. The goal of TLC is to help employees improve health as they&nbsp;prevent, arrest, and in some cases, even reverse chronic disease. Therapeutic Lifestyle Change programs will help employees start taking small, daily steps that will transform their health.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-level-of-commitment-does-a-tlc-program-require\"><span class=\"ez-toc-section\" id=\"What_level_of_commitment_does_a_TLC_program_require\"><\/span>What level of commitment does a TLC program require?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>TLC programs are much more challenging than most wellness activities. Each module takes some time and effort because long-term behavior change takes time and effort.&nbsp;On average, it takes employees 10 weeks to complete the program.<\/p>\n\n\n\n<p>Because the program is so intensive, many employers will use TLC as the only wellness task employees have to complete to earn their wellness incentive. Most likely, a good TLC program will be the most effective behavior change program you offer as part of your wellness program.&nbsp;<\/p>\n\n\n\n<p>As employees participate in Therapeutic Lifestyle Change, their health will improve and employers will be happy, healthy, productive employees. <strong>WellSteps TLC<\/strong> is the most expensive and comprehensive wellness activity we&#8217;ve ever produced. WellSteps customers get it for FREE when they purchase any of our wellness solutions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-do-participants-say-about-their-experience-with-the-wellsteps-tlc-program\"><span class=\"ez-toc-section\" id=\"What_do_participants_say_about_their_experience_with_the_WellSteps_TLC_program\"><\/span>What do participants say about their experience with the WellSteps TLC program?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><em>&#8220;The TLC program has helped me realize that there are many small steps to my end goal. Each is important. I will have times where I slip or fall, but little by little I hope to get to my goal and stay there.&#8221;<\/em><\/p>\n\n\n\n<p><em>&#8220;TLC gave many reminders and great tips on healthy lifestyle.&#8221;<\/em><\/p>\n\n\n\n<p><em>&#8220;Completed the TLC challenge week of eating more fish, lean meats and less red meat\/processed foods. I always feel better when I eat healthier foods.&#8221;<\/em><\/p>\n\n\n\n<p><em>&#8220;I&#8217;ve been healthy but listening and reading through the TLC has emphasized the importance of eating healthy and taking time to exercise each day. It was easy to skip the exercise because of meetings or running errands, but I am now making the time to fit it in on most days.&#8221;<\/em><\/p>\n\n\n\n<p><em>&#8220;Following the TLC program. The videos and exercises are very motivating!&#8221;<\/em><\/p>\n\n\n\n<p><em>&#8220;The TLC program helped me set goals and gain healthier habits.&#8221;<\/em><\/p>\n\n\n\n<p><em>&#8220;Doing the TLC program pushed me to be better than I was last month and I loved all the different goals it gives you. I am not in bad shape by all means but I used to not workout as much as I probably should. This program helped me push myself even more to work out and get back to where I love myself.&#8221;<\/em><\/p>\n\n\n\n<p>To make your wellness program as effective as it can be consider implementing a robust Therapeutic Lifestyle Change program. <strong>You can build your own or you can <a href=\"http:\/\/www.wellsteps.com\/demosignup\" target=\"_blank\" rel=\"noreferrer noopener\">contact us<\/a> and we&#8217;ll show you how our TLC program works.<\/strong><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" width=\"1024\" height=\"599\" src=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/01\/PastedGraphic-1024x599.png\" alt=\"TLC wellness program\" class=\"wp-image-3919\" style=\"width:438px;height:256px\" srcset=\"https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/01\/PastedGraphic-1024x599.png 1024w, https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/01\/PastedGraphic-300x176.png 300w, https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/01\/PastedGraphic-768x450.png 768w, https:\/\/www.wellsteps.com\/blog\/wp-content\/uploads\/2018\/01\/PastedGraphic.png 1382w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"h-frequently-asked-questions\"><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1773100799089\"><strong class=\"schema-faq-question\">Why is Therapeutic Lifestyle Change more effective than one-time health initiatives?<\/strong> <p class=\"schema-faq-answer\">Many HR leaders ask what Therapeutic Lifestyle Change (TLC) really means. TLC focuses on improving daily habits\u2014nutrition, movement, sleep, stress relief\u2014to prevent or reduce chronic disease. It\u2019s an ideal foundation for any wellness program<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1773100820402\"><strong class=\"schema-faq-question\">Why is Therapeutic Lifestyle Change more effective than one-time health initiatives?<\/strong> <p class=\"schema-faq-answer\">One-off wellness events can spark interest, but Therapeutic Lifestyle Change builds sustainable habits. TLC focuses on micro-changes that employees can practice daily, which leads to lasting results.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1773100821117\"><strong class=\"schema-faq-question\">How can company leaders support Therapeutic Lifestyle Change within their teams?<\/strong> <p class=\"schema-faq-answer\">Leaders can reinforce Therapeutic Lifestyle Change by modeling healthy behaviors themselves, sharing small successes, and encouraging breaks or walking meetings. Culture matters more than any wellness budget.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1773100821885\"><strong class=\"schema-faq-question\">What types of activities promote Therapeutic Lifestyle Change at work?<\/strong> <p class=\"schema-faq-answer\">Nutrition challenges, sleep goals, hydration tracking, and stress management prompts all support Therapeutic Lifestyle Change. WellSteps Habit Builders are built entirely around these daily wellness habits.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1773100822761\"><strong class=\"schema-faq-question\">How does Therapeutic Lifestyle Change improve long-term health outcomes?<\/strong> <p class=\"schema-faq-answer\">TLC helps employees make consistent, heart-healthy, brain-healthy, and energy-boosting choices. Over time, Therapeutic Lifestyle Change reduces risks for diabetes, hypertension, obesity, and chronic stress.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>What is Therapeutic Lifestyle Change (TLC)? Therapeutic Lifestyle Change is a set of tools, diet information, ideas, and programming designed to help individuals lower elevated health risks. TLC programs, as part of an overall wellness program, help individuals reduce the risk for heart disease through eating a health promoting diet and being active. A TLC&hellip;&nbsp;<a href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Therapeutic Lifestyle Change (TLC): A Wellness Program Essential<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[4,1054,1055,827],"tags":[614,2550,1546,1547,1544,1545,1541,1542,1543,1540,1537,1538,1539],"class_list":["post-2819","post","type-post","status-publish","format-standard","hentry","category-behavior-change","category-biometric-screening","category-biometric-testing","category-health-coaching","tag-advanced","tag-examples-of-therapeutic-lifestyle-changes","tag-lifestyle-and-health","tag-lifestyle-change-diet","tag-lifestyle-health","tag-lifestyle-modification","tag-the-tlc-diet","tag-therapeutic-lifestyle-changes","tag-therapeutic-lifestyle-changes-diet","tag-tlc-diet","tag-tlc-diet-menu","tag-tlc-diet-pdf","tag-tlc-diet-plan"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.1 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Therapeutic Lifestyle Change (TLC): A Wellness Program Essential<\/title>\n<meta name=\"description\" content=\"Most employees have at least one elevated health risk. Wellness Programs offering Therapeutic Lifestyle Change (TLC) improve employee health.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Therapeutic Lifestyle Change (TLC): A Wellness Program Essential\" \/>\n<meta property=\"og:description\" content=\"Executive Summary Why should Therapeutic Lifestyle Change (TLC) be part of every worksite wellness program? Therapeutic Lifestyle Change (TLC) should be\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.wellsteps.com\/blog\/2020\/01\/02\/therapeutic-lifestyle-change-tlc\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/WellSteps\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-01-02T16:06:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-19T20:20:36+00:00\" \/>\n<meta name=\"author\" content=\"Dr. Steve Aldana\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@wellsteps\" \/>\n<meta name=\"twitter:site\" content=\"@wellsteps\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. Steve Aldana\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/\"},\"author\":{\"name\":\"Dr. Steve Aldana\",\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/#\\\/schema\\\/person\\\/5a665881fbbbd2658e8b0fab9a2f701e\"},\"headline\":\"Therapeutic Lifestyle Change (TLC): A Wellness Program Essential\",\"datePublished\":\"2020-01-02T16:06:15+00:00\",\"dateModified\":\"2026-03-19T20:20:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/\"},\"wordCount\":2280,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/wp-content\\\/uploads\\\/2017\\\/07\\\/fats-healthy.bmp\",\"keywords\":[\"advanced\",\"examples of therapeutic lifestyle changes\",\"lifestyle and health\",\"lifestyle change diet\",\"lifestyle health\",\"lifestyle modification\",\"the tlc diet\",\"therapeutic lifestyle changes\",\"therapeutic lifestyle changes diet\",\"tlc diet\",\"tlc diet menu\",\"tlc diet pdf\",\"tlc diet plan\"],\"articleSection\":[\"behavior change\",\"biometric screening\",\"biometric testing\",\"health coaching\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/#respond\"]}]},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/\",\"url\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/\",\"name\":\"Therapeutic Lifestyle Change (TLC): A Wellness Program Essential\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/2020\\\/01\\\/02\\\/therapeutic-lifestyle-change-tlc\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.wellsteps.com\\\/blog\\\/wp-content\\\/uploads\\\/2017\\\/07\\\/fats-healthy.bmp\",\"datePublished\":\"2020-01-02T16:06:15+00:00\",\"dateModified\":\"2026-03-19T20:20:36+00:00\",\"description\":\"Most employees have at least one elevated health risk. 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