Participation in Worksite Health Promotion: A Critique of the Literature and Recommendations for Future Practice
- 1 October 1993
- journal article
- review article
- Published by SAGE Publications in Health Education Quarterly
- Vol. 20 (3), 391-408
- https://doi.org/10.1177/109019819302000309
Abstract
One of the major rationales for conducting health promotion/disease prevention activities at the worksite is the potential to reach a high percentage of employees, including many who would otherwise be unlikely to engage in preventive health behaviors. Most studies of worksite health promotion do not report participation data, but among those that do, definitions of participation and participation rates vary dramatically. In general, men and blue-collar employees appear less likely to participate, but little is known about other employee variables related to participation. There have been few studies of worksite characteristics associated with participation and even fewer experimental evaluations of interventions to increase participation. In this paper we review what is known about participation in worksite health promotion programs and recommend procedures for defining participation for different types of programs, for reporting determinants of participation, and for increasing participation. We conclude that participation is both an important process measure and an outcome that should be reported routinely. Participation data have important implications for generalizability of results, feasibility of interventions, and health outcomes.Keywords
This publication has 81 references indexed in Scilit:
- Worksite smoking control activities: Prevalence and related worksite characteristics from the COMMIT study, 1990Preventive Medicine, 1992
- Risk behaviors and health: Contrasting individual and population perspectives.American Psychologist, 1989
- Variables associated with participation and outcome in a worksite smoking control program.Journal of Consulting and Clinical Psychology, 1988
- Occupational health promotion programs to reduce cardiovascular risk.Journal of Consulting and Clinical Psychology, 1988
- Predicting participation and outcome in four workplace smoking intervention programmesHealth Education Research, 1987
- Comparison of Respondents and Nonrespondents to a Worksite Health ScreenJournal of Occupational and Environmental Medicine, 1983
- Hypertension Control at the Work SiteThe New England Journal of Medicine, 1983
- The Belgian heart disease prevention project: Changes in smoking habits after two years of interventionPreventive Medicine, 1980
- The file drawer problem and tolerance for null results.Psychological Bulletin, 1979
- A Program of Heart Disease Intervention for Public EmployeesJournal of Occupational and Environmental Medicine, 1978