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Flynn JP, Gascon G, Doyle S, Matson Koffman DM, Saringer C, Grossmeier J, Tivnan V, Terry P. Supporting a Culture of Health in the Workplace: A Review of Evidence-Based Elements. Am J Health Promot 2018; 32:1755-1788. [PMID: 29806469 DOI: 10.1177/0890117118761887] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To identify and evaluate the evidence base for culture of health elements. DATA SOURCE Multiple databases were systematically searched to identify research studies published between 1990 and 2015 on culture of health elements. STUDY INCLUSION AND EXCLUSION CRITERIA Researchers included studies based on the following criteria: (1) conducted in a worksite setting; (2) applied and evaluated 1 or more culture of health elements; and (3) reported 1 or more health or safety factors. DATA EXTRACTION Eleven researchers screened the identified studies with abstraction conducted by a primary and secondary reviewer. Of the 1023 articles identified, 10 research reviews and 95 standard studies were eligible and abstracted. DATA SYNTHESIS Data synthesis focused on research approach and design as well as culture of health elements evaluated. RESULTS The majority of published studies reviewed were identified as quantitative studies (62), whereas fewer were qualitative (27), research reviews (10), or other study approaches. Three of the most frequently studied culture of health elements were built environment (25), policies and procedures (28), and communications (27). Although all studies included a health or safety factor, not all reported a statistically significant outcome. CONCLUSIONS A considerable number of cross-sectional studies demonstrated significant and salient correlations between culture of health elements and the health and safety of employees, but more research is needed to examine causality.
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Affiliation(s)
| | | | | | | | | | | | | | - Paul Terry
- 6 Health Enhancement Research Organization, Waconia, MN, USA
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Abstract
Community and work-site wellness programs are increasing in prominence. However, planning and implementing such programs at large bureaucratic institutions are difficult. This project established a wellness program at a major university using a participatory planning approach that is applicable to other complex organizations. University students, faculty, staff, administrators, and retirees volunteered to participate in a 12-week planning project. The project consisted of weekly sessions designed to promote participation, ownership, and problem solving. Activities included information exchange, wellness lifestyle practice, reflection, discussion, and wellness program planning. Participants organized themselves into special task forces to identify campus health problems, barriers, and resources as well as to define goals and implementation strategies for a proposed ongoing university wellness program. A campus-wide university wellness program was implemented the following academic year. The project was effective in overcoming institutional barriers and mobilizing community resources. It is recommended that this approach be used in other settings.
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Archer WR, Batan MC, Buchanan LR, Soler RE, Ramsey DC, Kirchhofer A, Reyes M. Promising Practices for the Prevention and Control of Obesity in the Worksite. Am J Health Promot 2011. [DOI: 10.4278/ajhp.080926-lit-220] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose. To identify worksite practices that show promise for promoting employee weight loss. Data Source. The following electronic databases were searched from January 1, 1966, through December 31, 2005: CARL Uncover (via Ingenta), CDP, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Library, CRISP, Dissertation Abstracts, EMBASE, ERIC, Health Canada, INFORM (part of ABI/INFORM Proquest), LocatorPlus, New York Academy of Medicine, Ovid MEDLINE, SPORTDiscus, PapersFirst, PsycINFO, PubMed, and TRIP. Study Inclusion and Exclusion Criteria. Included studies were published in English, conducted at a worksite, designed for adults (aged ≥18 years), and reported weight-related outcomes. Data Extraction. Data were extracted using an online abstraction form. Data Synthesis. Studies were evaluated on the basis of study design suitability quality of execution, sample size, and effect size. Changes in weight-related outcomes were used to assess effectiveness. Results. The following six promising practices were identified: enhanced access to opportunities for physical activity combined with health education, exercise prescriptions alone, multicomponent educational practices, weight loss competitions and incentives, behavioral practices with incentives, and behavioral practices without incentives. Conclusions. These practices will help employers and employees select programs that show promise for controlling and preventing obesity. (Am J Health Promot 2011;25[3]:e12–e26.)
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Affiliation(s)
- W. Roodly Archer
- W. Roodly Archer, PhD, and David C. Ramsey, MPH, CHES, were with McKing Consulting Corporation, Atlanta, Georgia. Marilyn C. Batan, MPH; Leigh Ramsey Buchanan, PhD; Robin E. Soler, PhD; and Michele Reyes, PhD, are with the Centers for Disease Control and Prevention, Atlanta, Georgia. Ardine Kirchhofer, PhD, is with Youth Leadership for Global Health, Inc, Atlanta, Georgia
| | - Marilyn C. Batan
- W. Roodly Archer, PhD, and David C. Ramsey, MPH, CHES, were with McKing Consulting Corporation, Atlanta, Georgia. Marilyn C. Batan, MPH; Leigh Ramsey Buchanan, PhD; Robin E. Soler, PhD; and Michele Reyes, PhD, are with the Centers for Disease Control and Prevention, Atlanta, Georgia. Ardine Kirchhofer, PhD, is with Youth Leadership for Global Health, Inc, Atlanta, Georgia
| | - Leigh Ramsey Buchanan
- W. Roodly Archer, PhD, and David C. Ramsey, MPH, CHES, were with McKing Consulting Corporation, Atlanta, Georgia. Marilyn C. Batan, MPH; Leigh Ramsey Buchanan, PhD; Robin E. Soler, PhD; and Michele Reyes, PhD, are with the Centers for Disease Control and Prevention, Atlanta, Georgia. Ardine Kirchhofer, PhD, is with Youth Leadership for Global Health, Inc, Atlanta, Georgia
| | - Robin E. Soler
- W. Roodly Archer, PhD, and David C. Ramsey, MPH, CHES, were with McKing Consulting Corporation, Atlanta, Georgia. Marilyn C. Batan, MPH; Leigh Ramsey Buchanan, PhD; Robin E. Soler, PhD; and Michele Reyes, PhD, are with the Centers for Disease Control and Prevention, Atlanta, Georgia. Ardine Kirchhofer, PhD, is with Youth Leadership for Global Health, Inc, Atlanta, Georgia
| | - David C. Ramsey
- W. Roodly Archer, PhD, and David C. Ramsey, MPH, CHES, were with McKing Consulting Corporation, Atlanta, Georgia. Marilyn C. Batan, MPH; Leigh Ramsey Buchanan, PhD; Robin E. Soler, PhD; and Michele Reyes, PhD, are with the Centers for Disease Control and Prevention, Atlanta, Georgia. Ardine Kirchhofer, PhD, is with Youth Leadership for Global Health, Inc, Atlanta, Georgia
| | - Ardine Kirchhofer
- W. Roodly Archer, PhD, and David C. Ramsey, MPH, CHES, were with McKing Consulting Corporation, Atlanta, Georgia. Marilyn C. Batan, MPH; Leigh Ramsey Buchanan, PhD; Robin E. Soler, PhD; and Michele Reyes, PhD, are with the Centers for Disease Control and Prevention, Atlanta, Georgia. Ardine Kirchhofer, PhD, is with Youth Leadership for Global Health, Inc, Atlanta, Georgia
| | - Michele Reyes
- W. Roodly Archer, PhD, and David C. Ramsey, MPH, CHES, were with McKing Consulting Corporation, Atlanta, Georgia. Marilyn C. Batan, MPH; Leigh Ramsey Buchanan, PhD; Robin E. Soler, PhD; and Michele Reyes, PhD, are with the Centers for Disease Control and Prevention, Atlanta, Georgia. Ardine Kirchhofer, PhD, is with Youth Leadership for Global Health, Inc, Atlanta, Georgia
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Soler RE, Leeks KD, Razi S, Hopkins DP, Griffith M, Aten A, Chattopadhyay SK, Smith SC, Habarta N, Goetzel RZ, Pronk NP, Richling DE, Bauer DR, Buchanan LR, Florence CS, Koonin L, MacLean D, Rosenthal A, Matson Koffman D, Grizzell JV, Walker AM. A systematic review of selected interventions for worksite health promotion. The assessment of health risks with feedback. Am J Prev Med 2010; 38:S237-62. [PMID: 20117610 DOI: 10.1016/j.amepre.2009.10.030] [Citation(s) in RCA: 179] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2009] [Revised: 08/04/2009] [Accepted: 10/27/2009] [Indexed: 11/26/2022]
Abstract
BACKGROUND Many health behaviors and physiologic indicators can be used to estimate one's likelihood of illness or premature death. Methods have been developed to assess this risk, most notably the use of a health-risk assessment or biometric screening tool. This report provides recommendations on the effectiveness of interventions that use an Assessment of Health Risks with Feedback (AHRF) when used alone or as part of a broader worksite health promotion program to improve the health of employees. EVIDENCE ACQUISITION The Guide to Community Preventive Services' methods for systematic reviews were used to evaluate the effectiveness of AHRF when used alone and when used in combination with other intervention components. Effectiveness was assessed on the basis of changes in health behaviors and physiologic estimates, but was also informed by changes in risk estimates, healthcare service use, and worker productivity. EVIDENCE SYNTHESIS The review team identified strong evidence of effectiveness of AHRF when used with health education with or without other intervention components for five outcomes. There is sufficient evidence of effectiveness for four additional outcomes assessed. There is insufficient evidence to determine effectiveness for others such as changes in body composition and fruit and vegetable intake. The team also found insufficient evidence to determine the effectiveness of AHRF when implemented alone. CONCLUSIONS The results of these reviews indicate that AHRF is useful as a gateway intervention to a broader worksite health promotion program that includes health education lasting > or =1 hour or repeating multiple times during 1 year, and that may include an array of health promotion activities. These reviews form the basis of the recommendations by the Task Force on Community Preventive Services presented elsewhere in this supplement.
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Affiliation(s)
- Robin E Soler
- National Center for Health Marketing, CDC, Atlanta, Georgia 30333, USA.
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