Medical Cost Savings for Web-Based Wellness Program Participants from Employers Engaged in Health Promotion Activities

2011 ◽  
Vol 25 (4) ◽  
pp. 272-280 ◽  
Author(s):  
Laura C. Williams ◽  
Brian T. Day
Keyword(s):  
Health Promotion ◽  
Medical Cost ◽  
Cost Savings ◽  
Wellness Program ◽  
Web Based

scholarly journals Physical activity and associated medical cost savings among at-risk older adults participating a community-based health & wellness program

PLoS ONE ◽  
2018 ◽  
Vol 13 (6) ◽  
pp. e0198239 ◽  
Author(s):  
Samuel D. Towne ◽  
Yajuan Li ◽  
Shinduk Lee ◽  
Matthew Lee Smith ◽  
Gang Han ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Medical Cost ◽  
Cost Savings ◽  
Wellness Program ◽  
Community Based

The Use of Reverse Discourse in Web-Based Sexual Health Promotion

2011 ◽  
Author(s):  
Wendy Davis ◽  
Mark Gilbert ◽  
Jean Shoveller
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Web Based

scholarly journals Occupational Health Needs and Predicted Well-Being in Office Workers Undergoing Web-Based Health Promotion Training: Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Devan Richard Tchir ◽  
Michael Lorne Szafron
Keyword(s):  
Health Promotion ◽  
Back Pain ◽  
Workplace Health Promotion ◽  
Well Being ◽  
Health Intervention ◽  
Office Workers ◽  
Health Issues ◽  
Web Based ◽  
Health Training ◽  
The Web

BACKGROUND Office workers face workplace-related health issues, including stress and back pain, resulting in considerable cost to businesses and health care systems. Workplace health promotion attempts to prevent these health issues, and the internet can be used to deliver workplace health promotion interventions to office workers. Data were provided by Fitbase GmbH, a German company, which specializes in workplace health promotion via the internet (Web-based health). The Web-based health intervention allowed workers to focus on different health categories by using information modules (reading health information) and/or completing practical exercises (guided, interactive health tutorials). OBJECTIVE This study aimed to identify the extent to which office workers have workplace-related health issues, assess whether office workers who differ in their health focus also differ in their improved well-being, and assess whether completing practical exercises is associated with improved well-being compared with reading information modules. METHODS Fitbase GmbH collected data for the period of February 2016 to May 2017 from health insurance employees undergoing Web-based health training in Hamburg, Germany. The data consisted of a needs assessment examining health issues faced by office workers, a wellness questionnaire regarding one’s perception of the Web-based health intervention, and activity logs of information modules and practical exercises completed. Through logistic regression, we determined associations between improved well-being from Web-based health training and differences in a worker’s health focus and a worker’s preferred intervention method. RESULTS Nearly half of the office workers had chronic back pain (1532/3354) and felt tense or irritated (1680/3348). Over four-fifth (645/766) of the office workers indicated that the Web-based health training improved their well-being (<i>P</i>&lt;.001). Office workers who preferred practical exercises compared with information modules had 2.22 times greater odds of reporting improved well-being from the Web-based health intervention (<i>P</i>=.01; 95% CI 1.20-4.11). Office workers with a focus on practical exercises for back health had higher odds of improved well-being compared with other health foci. Office workers focused on practical exercises for back pain had at least two times the odds of having their well-being improved from the Web-based health intervention compared with those focused on stress management (<i>P</i>&lt;.001), mindfulness (<i>P</i>=.02), stress management/mindfulness (<i>P</i>=.005), and eye health (<i>P</i>=.003). No particular health focus was associated with improved well-being for the information modules. CONCLUSIONS Office workers frequently report having back pain and stress. A focus on Web-based health training via practical exercises and practical exercises for back health predict an improvement in office workers’ reported well-being. CLINICALTRIAL

scholarly journals Developing a Sexual Health Promotion Intervention With Young Men in Prisons: A Rights-Based Participatory Approach (Preprint)

2018 ◽  
Author(s):  
Michelle Templeton ◽  
Carmel Kelly ◽  
Maria Lohan
Keyword(s):  
Health Promotion ◽  
Health Services ◽  
Sexual Health ◽  
Young Men ◽  
Participatory Approach ◽  
Casual Sex ◽  
Health Promotion Intervention ◽  
Web Based ◽  
Incarcerated Men ◽  
The Impact

BACKGROUND The sexual health of young men in prisons is often among the poorest in any given country. They may have developed sexual behaviors that, from a public health perspective, are considered problematic and burdensome. These include poorer use of condoms and engaging in more frequent casual sex, resulting in higher rates of sexually transmitted infections, including HIV and viral hepatitis. Thus, young incarcerated men are a highly marginalized and socially excluded high-risk group, in greater need of sexual health education and services. OBJECTIVE The aim of this study was to create an innovative sexual health promotion intervention, made for and with young men in prisons, to encourage them to avail of regular sexual health checkups. This included developing a Web-based animated-style sexual health promotion intervention (1.42 min) coupled with upskilling the prison nurses to offer a partnership approach to prison health care. This paper focuses on the development of the intervention and the importance of the underpinning rights-based (RB) participatory intervention design. METHODS We employed an RB participatory approach and recruited 14 participants who attended 3 coproduction workshops held within a prison site in Northern Ireland, United Kingdom. A bespoke 3-day training for nurses beforehand, ensured they gained a deeper understanding of the determinants of poor sexual health. The coproduction team comprised young men, prison nurses, nurse sexual health consultant, media company representatives, and facilitator. Workshops focused on content, design, tone and medium of communication for a Web-based intervention that would be appealing and engaging for young incarcerated men. RESULTS A 1.42-min animation Dick loves Doot was created to promote a positive attitude toward sexual health checkups. The RB approach enabled the young men to participate, have their voices heard and see their stories reflected through the animation. The nurses’ capacities to protect, fulfill, and respect the young men’s rights to appropriate sexual health services and education was also enhanced. Evaluations confirmed that we successfully provided accurate sexual health information in a way that was engaging and accessible and that encouraged the young men to avail of the new prison sexual health services that were set up in the prison and now provided by nurses. CONCLUSIONS The RB participatory approach to health advanced in this study provided a means to (1) gain invaluable insider knowledge to understand the impact of structural determinants on health and health inequalities and strategies by which to target young incarcerated men (2) create inclusive opportunities for developing bespoke targeted interventions, and (3) galvanize collaborative partnerships to disrupt the structures and processes that lead to and encourage health inequities. To reduce future risk, effective treatment, coupled with coproduced interventions that transmit relevant health messages in a relevant and meaningful way, is key to success.

Abstract 115: Results of a Twelve Month Randomized Trial of an Internet Based Lifestyle Intervention in High Cardio Metabolic Risk Individuals: The Baptist Employee Healthy Heart Study (BEHHS)

2018 ◽  
Vol 11 (suppl_1) ◽  
Author(s):  
Ehimen Aneni ◽  
Lara Arias ◽  
Janisse Post ◽  
Shozab S Ali ◽  
Chukwuemeka U Osondu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Cardiometabolic Risk ◽  
Laboratory Data ◽  
Control Group ◽  
Wellness Program ◽  
Web Based ◽  
Lifestyle Program ◽  
Heart Study ◽  
Diet And Physical Activity

Background: Web-based platforms have been proposed as tools to facilitate lifestyle improvement, however, their efficacy in individuals with high cardiometabolic risk has not been adequately tested. The Baptist Employee Healthy Heart Study (BEHHS) was designed to assess the addition of a personalized, interactive, web-based, lifestyle-management program to the existing health-expertise web platform available to BHSF employees with metabolic syndrome (METS) or type 2 diabetes (DM2) Methods: In this 1:1 randomized, non-blinded trial, the intervention arm was provided access to a web-based personalized and interactive lifestyle program that provided targeted and personalized dietary, weight management and physical activity counseling. The intervention was in addition to access to an online wellness program, a non-interactive website that provided information on healthy diet and physical activity. The control group only had access to the online wellness program. At baseline, each participant had their demographic data collected via questionnaire. At each study visit (baseline, 4 months and 12 months) participants completed questionnaires on lifestyle indices such as diet and physical activity, had their weight, height, waist circumference, body fat (by plethysmography) and blood pressure measured. Laboratory testing was done for traditional lipids and glucose at each visit. Results: Of the 182 participants that were randomized, 163 (82 in the intervention arm and 81 in the control arm) completed the baseline survey and had complete laboratory data at baseline. Loss to follow-up was 12% at 4 months 34% at 12 months. As shown the table, intention to treat analysis using both single imputation (last observation carried forward) and multiple imputation techniques showed no difference in BMI, other measures of adiposity, blood pressure, lipids, physical activity and diet scores. When analyses were restricted to completers alone, no significant change in the results were observed. Conclusion: The addition of web-based, personalized lifestyle program to an already existing lifestyle educational platform did not significantly impact healthy lifestyle promotion and cardiometabolic risk in employees with MetS or DM2.

scholarly journals Adjudicating Traditional Wellness

2020 ◽  
Vol 34 (4) ◽  
pp. 344-348
Author(s):  
Paul E. Terry
Keyword(s):  
Health Promotion ◽  
Quality Improvement ◽  
Physical Health ◽  
Health Assessment ◽  
Educational Programs ◽  
Worksite Health Promotion ◽  
Wellness Program ◽  
Consensus Definition ◽  
Worksite Health ◽  
Physical Health Domain

There is no consensus definition for “traditional wellness” but in worksite health promotion, it usually means the wellness program is a health assessment and/or health screening offering followed by some educational programs, usually in the physical health domain. Using the term traditional wellness may belie an unawareness about or lack of appreciation for the quality improvement principles that are as applicable to the health of a profession as they are to the growth of an organization. This editorial examines how the use of the term traditional wellness is a reflection on our professional zeitgeist. Five ideas that attempt to explain misunderstandings about differing approaches to worksite health promotion are offered along with 5 ways we may be able to make peace with traditional wellness.

The Sustainability of a Workplace Wellness Program That Incorporates Gamification Principles: Participant Engagement and Health Benefits After 2 Years

2019 ◽  
Vol 33 (6) ◽  
pp. 850-858 ◽  
Author(s):  
Ilka Lowensteyn ◽  
Violette Berberian ◽  
Claudie Berger ◽  
Deborah Da Costa ◽  
Lawrence Joseph ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Management ◽  
Density Lipoprotein ◽  
Participation Rate ◽  
Workplace Wellness ◽  
Participation Rates ◽  
Physical And Mental Health ◽  
Wellness Program ◽  
Web Based ◽  
Metabolic Equivalents

Purpose: To evaluate the results of a workplace wellness program that incorporates gamification principles. Design: In this prospective cohort study, the participation rate and observed health outcomes were evaluated after approximately 2 years. Setting and participants: All permanent employees (n = 775) of a national company located in Canada were eligible to participate. Intervention: The wellness program included web-based challenges (team or individual) incorporating gamification strategies to improve exercise, nutrition, weight reduction, and mental health management behaviors. Measures and analysis: The primary outcomes were employee participation rates. The secondary pre-specified outcomes were the sustained benefits of the program on physical and mental health measures. Results: Participation rates in the health screenings were 78% (baseline), 54% (year 1), and 56% (year 2). Participation in the 4 team web-based challenges ranged from 33% to 68% with 76% to 86% of participants tracking their activity on at least half of the days. After 2 years, there were significant clinical improvements in systolic blood pressure (−1.3mm Hg), total cholesterol/high-density lipoprotein (HDL) ratio (−0.14), glycated haemoglobin (HbA1c; −0.1%), weekly physical activity (+264 Metabolic Equivalents [METs]), perceived stress score (−17%), insomnia severity index (−16%), general fatigue (−10%), and reductions in the cardiovascular age gap (−0.3 years). Greater benefits occurred among employees at higher risk. Conclusions: Workplace wellness programs that evolve over time and focus primarily on fun and competitive challenges may support long-term participation, behavior change, and sustained improvements in clinical outcomes.

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