Author:
Colkesen Ersen B,Niessen Maurice AJ,Peek Niels,Vosbergen Sandra,Kraaijenhagen Roderik A,van Kalken Coenraad K,Tijssen Jan GP,Peters Ron JG
Abstract
Abstract
Background
Primary prevention programs at the worksite can improve employee health and reduce the burden of cardiovascular disease. Programs that include a web-based health risk assessment (HRA) with tailored feedback hold the advantage of simultaneously increasing awareness of risk and enhancing initiation of health-behaviour change. In this study we evaluated initial health-behaviour change among employees who voluntarily participated in such a HRA program.
Methods
We conducted a questionnaire survey among 2289 employees who voluntarily participated in a HRA program at seven Dutch worksites between 2007 and 2009. The HRA included a web-based questionnaire, biometric measurements, laboratory evaluation, and tailored feedback. The survey questionnaire assessed initial self-reported health-behaviour change and satisfaction with the web-based HRA, and was e-mailed four weeks after employees completed the HRA.
Results
Response was received from 638 (28%) employees. Of all, 86% rated the program as positive, 74% recommended it to others, and 58% reported to have initiated overall health-behaviour change. Compared with employees at low CVD risk, those at high risk more often reported to have increased physical activity (OR 3.36, 95% CI 1.52-7.45). Obese employees more frequently reported to have increased physical activity (OR 3.35, 95% CI 1.72-6.54) and improved diet (OR 3.38, 95% CI 1.50-7.60). Being satisfied with the HRA program in general was associated with more frequent self-reported initiation of overall health-behaviour change (OR 2.77, 95% CI 1.73-4.44), increased physical activity (OR 1.89, 95% CI 1.06-3.39), and improved diet (OR 2.89, 95% CI 1.61-5.17).
Conclusions
More than half of the employees who voluntarily participated in a web-based HRA with tailored feedback, reported to have initiated health-behaviour change. Self-reported initiation of health-behaviour change was more frequent among those at high CVD risk and BMI levels. In general employees reported to be satisfied with the HRA, which was also positively associated with initiation of health-behaviour change. These findings indicate that among voluntary participating employees a web-based HRA with tailored feedback may motivate those in greatest need of health-behaviour change and may be a valuable component of workplace health promotion programs.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Safety Research,Toxicology
Reference31 articles.
1. Allender S, Scarborough P, Peto V, Rayner M, Leal J, Luengo-Fernandez R, et al.: European cardiovascular disease statistics 2008. 1–2-2008. British Heart Foundation Health Promotion Research Group Department of Public Health, University of Oxford, European Hart Network;
2. Yach D, Hawkes C, Gould CL, Hofman KJ: The global burden of chronic diseases: overcoming impediments to prevention and control. JAMA 2004, 291: 2616–2622. 10.1001/jama.291.21.2616
3. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al.: Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 2004, 364: 937–952. 10.1016/S0140-6736(04)17018-9
4. Boulware LE, Marinopoulos S, Phillips KA, Hwang CW, Maynor K, Merenstein D, et al.: Systematic review: the value of the periodic health evaluation. Ann Intern Med 2007, 146: 289–300.
5. Pelletier KR: A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: update VII 2004–2008. J Occup Environ Med 2009, 51: 822–837. 10.1097/JOM.0b013e3181a7de5a
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