scholarly journals Adoption and Implementation Barriers for Worksite Health Programs in the United States

2021 ◽  
Vol 18 (22) ◽  
pp. 12030
Author(s):  
Marc Weinstein ◽  
Kalila Cheddie
Keyword(s):  
Health Promotion ◽  
Workplace Health Promotion ◽  
The United States ◽  
Management Support ◽  
Workplace Health ◽  
Implementation Barriers ◽  
Policy Makers ◽  
Adoption And Implementation ◽  
Qualified Personnel ◽  
Worksite Health

Worksite health promotion programs have been identified as having the potential to mitigate chronic health risks. In the most recent 2017 U.S. CDC survey of workplace health promotion, respondents identified several perceived barriers related to program adoption and implementation. The analysis indicates that challenges negatively associated with having worksite program were lack of senior management support (OR = 0.50, 95% CI: 0.32–0.78), lack of qualified vendors (OR = 0.56, 95% CI: 0.4–0.79), lack of qualified personnel (OR = 0.56, 95% CI: 0.35–0.73), and cost (OR = 0.58, 95% CI: 0.39–0.88). Challenges associated with having a program were lack of employee interest (OR = 2.09, 95% CI = 1.44–3.03), lack of space (OR = 1.76, 95% CI: 1.26–2.48), and demonstrating program results (OR = 2.09, 95% CI = 1.44–3.03). These findings can provide insights to policy makers, insurers, and employers seeking to implement workplace-based health promotion initiatives.

scholarly journals Worksite Health Promotion for Low-Wage Workers: A Scoping Literature Review

2017 ◽  
Vol 32 (2) ◽  
pp. 359-373 ◽  
Author(s):  
Emily Stiehl ◽  
Namrata Shivaprakash ◽  
Esther Thatcher ◽  
India J. Ornelas ◽  
Shawn Kneipp ◽  
...  
Keyword(s):  
Health Promotion ◽  
Workplace Health Promotion ◽  
Data Extraction ◽  
The United States ◽  
Worksite Health Promotion ◽  
Workplace Health ◽  
Health Promotion Programs ◽  
Scoping Literature Review ◽  
Worksite Health ◽  
Health Promotion Interventions

Objective: To determine: (1) What research has been done on health promotion interventions for low-wage workers and (2) what factors are associated with effective low-wage workers’ health promotion programs. Data Source: This review includes articles from PubMed and PsychINFO published in or before July 2016. Study Inclusion/Exclusion Criteria: The search yielded 130 unique articles, 35 met the inclusion criteria: (1) being conducted in the United States, (2) including an intervention or empirical data around health promotion among adult low-wage workers, and (3) measuring changes in low-wage worker health. Data Extraction: Central features of the selected studies were extracted, including the theoretical foundation; study design; health promotion intervention content and delivery format; intervention-targeted outcomes; sample characteristics; and work, occupational, and industry characteristics. Data Analysis: Consistent with a scoping review, we used a descriptive, content analysis approach to analyze extracted data. All authors agreed upon emergent themes and 2 authors independently coded data extracted from each article. Results: The results suggest that the research on low-wage workers’ health promotion is limited, but increasing, and that low-wage workers have limited access to and utilization of worksite health promotion programs. Conclusion: Workplace health promotion programs could have a positive effect on low-wage workers, but more work is needed to understand how to expand access, what drives participation, and which delivery mechanisms are most effective.

scholarly journals Workplace Health Promotion Is Growing Up but Confusion Remains About What Constitutes a Comprehensive Approach

2019 ◽  
Vol 33 (6) ◽  
pp. 845-849 ◽  
Author(s):  
Paul E. Terry
Keyword(s):  
Health Promotion ◽  
Workplace Health Promotion ◽  
Comprehensive Approach ◽  
Worksite Wellness ◽  
Growing Up ◽  
Workplace Health ◽  
Comprehensive Program ◽  
Worksite Health ◽  
Social And Physical Environment ◽  
Comprehensive Programs

Professionals interested in advancing best practices in worksite wellness have been calling for more organizational and environmental approaches that will advance a culture of health. We seem to be getting the message across because a recent national survey shows that “supportive social and physical environment” is one of the 5 elements used to define a comprehensive program that has increased the most from 29.2% naming this as part of their approach in 2004 to 56% of companies in 2017. Yet 2 worksite health promotion studies that garnered media attention this past year offer telling examples of what occurs when researchers conflate or confuse the effectiveness of a health education program with a socioecological approach. I would suggest we replace the term “comprehensive programs” with “socioecological approach” or a “culture of health approach” or, at least, “a comprehensive approach,” anything but continued use of the oxymoronic term “comprehensive program.”

Organizational Health Promotion: Broadening the Horizon of Workplace Health Promotion

2003 ◽  
Vol 17 (5) ◽  
pp. 337-341 ◽  
Author(s):  
David M. DeJoy ◽  
Mark G. Wilson
Keyword(s):  
Health Promotion ◽  
Workplace Health Promotion ◽  
Work Organization ◽  
Well Being ◽  
Organizational Health ◽  
Workplace Health ◽  
The Status ◽  
Worksite Health ◽  
Healthy Work ◽  
Health And Well Being

This article argues that efforts to improve the health and well-being of the workforce should begin with the organization itself. The term organizational health promotion is introduced to expand the scope of worksite health promotion. Organizational health promotion delves into the basic structural and organizational fabric of the enterprise—to how work is organized. The core themes of healthy work organization are introduced, and the status of our ability to identify organizational risk factors is discussed. A conceptual model of healthy work organization is presented, along with a process for expanding the health promotive capacity of the organization. The final section addresses challenges related to adopting an organizational health promotion perspective.

Dissemination and Implementation Research in Worksites

2017 ◽  
Author(s):  
Peggy A. Hannon ◽  
Jeffrey R. Harris
Keyword(s):  
Health Promotion ◽  
Implementation Research ◽  
Workplace Health Promotion ◽  
The United States ◽  
Dissemination And Implementation ◽  
Workplace Health ◽  
For Profit ◽  
Health Promotion Programs ◽  
Dissemination And Implementation Research ◽  
Workplace Health Promotion Programs

The workplace provides an opportunity to reach more than 60% of adults in the United States with evidence-based health promotion. There is substantial research on the effectiveness of specific workplace health promotion programs, but comparatively little research on disseminating and implementing effective programs. Most of the for-profit vendors are focused on working with large employers and with good reason—they can reach large numbers of people more efficiently. Unfortunately, this focus on large employers leaves almost half of the workforce out, and that half is disproportionately at risk for health disparities. There are unique opportunities in workplace health promotion dissemination and implementation research for partnerships between academic researchers, employers, and both for-profit and not-for-profit vendors to identify (and create) effective workplace health promotion programs, tailor them to meet the needs and capacities of employers, and evaluate impact and use the results to improve the programs and increase their reach.

Management Support of Workplace Health Promotion: Field Test of the Leading by Example Tool

2010 ◽  
Vol 25 (2) ◽  
pp. 138-146 ◽  
Author(s):  
Lindsay J. Della ◽  
David M. DeJoy ◽  
Shannon Gwin Mitchell ◽  
Ron Z. Goetzel ◽  
Enid Chung Roemer ◽  
...  
Keyword(s):  
Health Promotion ◽  
Field Test ◽  
Workplace Health Promotion ◽  
Management Support ◽  
Workplace Health

scholarly journals Workplace Health Promotion in German Social Firms—Offers, Needs and Challenges from the Perspectives of Employees, Supervisors and Experts

2022 ◽  
Vol 19 (2) ◽  
pp. 959
Author(s):  
Ann-Christin Kordsmeyer ◽  
Ilona Efimov ◽  
Julia Christine Lengen ◽  
Volker Harth ◽  
Stefanie Mache
Keyword(s):  
Health Promotion ◽  
Financial Incentives ◽  
Longitudinal Research ◽  
Qualitative Content Analysis ◽  
Workplace Health Promotion ◽  
Sport Nutrition ◽  
Management Support ◽  
Workplace Health ◽  
Work Time ◽  
Telephone Interviews

On the general labor market, social firms provide 30–50% of people with different types of disabilities the opportunity to gain employment. However, the topic of workplace health promotion (WHP), needs for improvement and accompanied challenges are neglected in the current research and were the focus of the present study. Therefore, data triangulation was used between July and December 2020 by combining three focus groups with employees (n = 14 employees) with 16 interviews with supervisors from several social firms in Northern Germany (e.g., from catering, cleaning or bicycle repair sectors). 17 semi-structured telephone interviews with experts in the field of WHP or social firms were added. All approaches were audio-taped, transcribed and anonymized. To analyze the data, Mayring’s qualitative content analysis was used. The results indicated that several offers for WHP, including sport, nutrition and relaxation, were offered, as well as those on smoking cessation, cooperation with external organizations or training and education offers. Needs for improvement were stated referring to additional sport offers, support for implementing a healthy diet, offers for relaxation, financial incentives or collaborations with external organizations. A low take-up of offers; a lack of resources, structures or management support; compatibility of offers with work time and organization; challenges with available trainings or the consideration of individual needs and capacities were highlighted as challenges. Overall, there is a need for further interventional and longitudinal research on WHP in social firms.

Workplace health promotion interventions for Australian workers with intellectual disability

2021 ◽  
Vol 36 (2) ◽  
pp. 321-333
Author(s):  
Hannah Meacham ◽  
Jillian Cavanagh ◽  
Timothy Bartram ◽  
Patricia Pariona-Cabrera ◽  
Amie Shaw
Keyword(s):  
Health Promotion ◽  
Intellectual Disability ◽  
Workplace Health Promotion ◽  
Management Support ◽  
Workplace Health ◽  
Structured Interviews ◽  
Social Scientists ◽  
Health Empowerment ◽  
Development Goals ◽  
Film Making

Summary Workplace health promotion (WHP) and the general wellbeing of workers in the Australian workforce should be a priority for all management. Our study argues that management support for workers with an intellectual disability (WWID) can make a difference to their health promotion and ultimately their participation in the workforce. We adopt a qualitative approach, through semi-structured interviews with 22 managers, across various organizations, to examine their perspectives around the WHP of WWID. We integrate the key values of WHP; rights for health, empowerment for health and participation for health (Spencer, Corbin and Miedema, Sustainable development goals for health promotion: a critical frame analysis, Health Promot Int 2019;34:847–58) into the four phases of WHP interventions; needs assessment, planning, implementation and evaluation (Bortz and Döring, Research Methods and Evaluation for Human and Social Scientists, Heidelberg: Springer, 2006) and examine management perspectives (setting-based approach) on WHP of WWID. Where this integration had taken place, we found some evidence of managers adopting more flexible, innovative and creative approaches to supporting the health promotion of WWID. This integration seemed to drive continuous improvement for WWID health promotion at the workplace. We also found evidence that some organizations, such an exemplar film company, even over deliver in terms of supporting WWID needs by encouraging their capabilities in film making interventions, whilst others are more direct in their support by matching skills to routine jobs. Our approach demonstrates that incorporating key WHP values into the four-phase WHP framework is critical for the effective health promotion of WWID.

scholarly journals Empirical Work on Workforce Participation in Workplace Health Promotion Programs in Indian Corporate Sector

2020 ◽  
Vol 9 (1) ◽  
pp. 518-526
Keyword(s):  
Health Promotion ◽  
Workplace Health Promotion ◽  
Empirical Work ◽  
Worksite Health Promotion ◽  
Least Square ◽  
Workplace Health ◽  
Corporate Sector ◽  
Health Promotion Programs ◽  
Worksite Health ◽  
Indian Industries

The present study tries to investigate and analyze the key determinants that influence an employee’s intention regarding participation in Worksite Health Promotion programs in Indian Corporate Sector. The study also tries to find out the applicability and validity of theory of planned behavior (Ajzen, 1991) in explaining the behavior of employees in terms of participation in Worksite health promotion programs in the Indian Corporate Sector. The study adopts the primary survey to collect the responses of 256 sample respondents collected through online questionnaire survey from Indian industries. After assessing the reliability of the variables followed by variable extraction using principle component analysis, the responses are analyzed using ordinary least square method. The findings of the study suggest that three factors such as environment at workplace, influence of peers and personal beliefs play a significant role in affecting the employee’s participation in workplace health programs.

scholarly journals Prevalence of Workplace Health Practices and Policies in Hospitals: Results From the Workplace Health in America Study

2020 ◽  
Vol 34 (8) ◽  
pp. 867-875
Author(s):  
Laura Mulder ◽  
Brook Belay ◽  
Qaiser Mukhtar ◽  
Jason E. Lang ◽  
Diane Harris ◽  
...  
Keyword(s):  
Health Promotion ◽  
Occupational Safety ◽  
Wellness Programs ◽  
The United States ◽  
Worksite Health Promotion ◽  
Self Report ◽  
Health Promotion Program ◽  
Workplace Health ◽  
Cross Sectional ◽  
Worksite Health

Purpose: To provide a nationally representative description on the prevalences of policies, practices, programs, and supports relating to worksite wellness in US hospitals. Design: Cross-sectional, self-report of hospitals participating in Workplace Health in America (WHA) survey from November 2016 through September 2017. Setting: Hospitals across the United States. Participants: Random sample of 338 eligible hospitals participating in the WHA survey. Measures: We used previous items from the 2004 National Worksite Health Promotion survey. Key measures included presence of Worksite Health Promotion programs, evidence-based strategies, health screenings, disease management programs, incentives, work-life policies, barriers to health promotion program implementation, and occupational safety and health. Analysis: Independent variables included hospital characteristics (eg, size). Dependent characteristics included worksite health promotion components. Descriptive statistics and χ2 analyses were used. Results: Eighty-two percent of hospitals offered a wellness programs during the previous year with larger hospitals more likely than smaller hospitals to offer programs ( P < .01). Among hospitals with wellness programs, 69% offered nutrition programs, 74% offered physical activity (PA) programs, and 84% had a policy to restrict all tobacco use. Among those with cafeterias or vending machines, 40% had a policy for healthier foods. Only 47% and 25% of hospitals offered lactation support or healthy sleep programs, respectively. Conclusion: Most hospitals offer wellness programs. However, there remain hospitals that do not offer wellness programs. Among those that have wellness programs, most offer supports for nutrition, PA, and tobacco control. Few hospitals offered programs on healthy sleep or lactation support.

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