fortify™ · the research foundation

This is not a philosophy. It is the strongest evidence signal in wellbeing science.

A 2026 network meta-analysis. The finding: whole beats parts.

270°
the numbers
183

randomized controlled trials

The 2026 network meta-analysis Fortify™ is built on.

22,811

participants

Across the landmark wellbeing study.

0.73

smd · combined interventions

Versus ≈0.45 for either alone. Not incremental.

smd = standardized mean difference · 0.73 ≈ double the effect of single-track work

When an executive struggles, the problem rarely lives in one domain — it lives in the cascades between them. Fortify™ maps that architecture: ten domains, three layers deep.

four findings that matter
01

Combined intervention effect

Body + mind together: SMD 0.73 vs ≈0.45 for either (Wilkie et al., Nature Human Behaviour, 2026; network meta-analysis of 183 RCTs, 22,811 participants) alone.

02

Executive flourishing

Only 17.2% of adults are flourishing (Keyes, MIDUS, n=3,032). High performance and deep struggle aren't opposites.

03

Coaching efficacy

Coaching across 37 randomized controlled trials, 2,528 participants: g = 0.59 (de Haan & Nilsson, Academy of Management Learning and Education, 2023). The operative word is measured.

04

Leadership contagion

Where executives are transparent, 72% of employees report above-average wellbeing vs 57% where they are not (Deloitte, 2022; survey of 2,100) wellbeing.

ten domains

The architecture of a whole human life.

tap a domain to see its keystone connections

  • PH
    Physical — Health & Vitality
    Cardiorespiratory fitness is among the strongest predictors of all-cause mortality (Myers et al., New England Journal of Medicine, 2002; Ross et al., Circulation, 2016).
  • ME
    Mental — Emotional Wellbeing
    Flourishing and illness are not opposites. You can be high performing and deeply struggling at the same time (Keyes, MIDUS).
  • CG
    Cognitive — Brain & Focus
    In rodent studies, seven consecutive days of mild stress produces measurable prefrontal cortex dendritic atrophy, and it reverses after the stress ends (Liu & Aghajanian, PNAS, 2008; Radley et al., 2005). Human equivalence is not established.
  • SX
    Sexual — Intimacy & Desire
    Absent from every major wellbeing framework. Present in every client. Left out, the symptom gets treated as a relationship problem or a character problem, when it is a load problem with a physiology.
  • RL
    Relational — Partnerships
    Attachment anxiety correlates r = .42 with negative mental health; attachment avoidance r = .28 (Zhang et al., Journal of Personality and Social Psychology, 2022; 224 studies, 79,722 participants).
  • SC
    Social — Community
    Seniority thins the room: fewer peers, fewer people who can hear the whole thing. Being socially disconnected carries a mortality impact similar to smoking up to 15 cigarettes a day (US Surgeon General, 2023, drawn from Holt-Lunstad et al., PLoS Medicine, 2010).
  • FI
    Financial — Security & Identity
    For senior operators, compensation stops being a number and becomes a verdict on the self. Across 22 countries and 202,898 people, the largest gap between men's and women's flourishing was not health or happiness or relationships. It was financial security (Lomas et al., Scientific Reports, 2026).
  • EN
    Environmental — Space & Nature
    At least 120 minutes a week in nature is associated with significantly higher odds of reporting good health and high wellbeing (White et al., Scientific Reports, 2019; observational, 19,806 participants).
  • SP
    Spiritual — Meaning & Purpose
    Across 200,000 adults in 22 countries, religious service attendance was among the factors most consistently associated with wellbeing, though the size of that association varied widely by country (VanderWeele et al., Nature Mental Health, 2025; cross-sectional).
  • ID
    Identity — Self-Concept & Values
    67% of C-suite executives and senior managers cover core aspects of identity at work, the highest rate of any level (Deloitte, Uncovering culture; a consultancy survey).
four keystone connections
  • Identity Fusion. Why executive job loss is psychologically violent.
  • Depletion Cascade. Chronic stress is not an excuse. It is a mechanism.
  • Mind-Body Unity. The strongest evidence signal we have.
  • Intimacy Spillover. Withdrawal reads as rejection, not stress.

The research is the foundation. The work is what happens next.

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