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Table 1 Participation levels and determinants of participation in educational or counselling worksite health promotion programmes

From: Determinants of participation in worksite health promotion programmes: a systematic review

Study

Study

design

Study

population

Worksite health

promotion programme

Participation

level

Determinants

of participation

OR [95%CI]

Franklin 2006 [16]

cohort

Employees of an insurance company (n = 960)

Daily e-mail messages

with links self-monitoring

on nutrition and physical

activity over 6 months.

40% (n = 388)

(n = 345 completed

baseline health survey)

male gender

age (30–49)

age (50+)

white ethnicity

married

income, $30.000–$59.999

income, > $59.999

0.34 [0.24–0.49]*

1.30 [0.72–2.33]

1.47 [0.79–2.74]

1.22 [0.78–1.93]

1.43 [1.08–1.91]*

1.50 [1.08–2.09]*

0.90 [0.58–1.41]

Thomas 2006

[20]

cohort

Government employees

(n = 3500)

1 information session with goal

setting and subsequent

pedometer use and e-mail support

to increase physical activity

over 4 weeks.

34% (n = 1195)

(n = 927 provided

demographic information)

male gender

age (30–49)

age (50+)

0.46 [0.39–0.54]*

0.73 [0.60–0.89]*

0.82 [0.66–1.02]

McCarty 2005

[19]

cohort

Employees of a health care system

(n = 6539)

Self-monitoring and weekly e-mail support

to increase physical activity and

a healthy diet over a 16-week period

17% (n = 1129)

male gender

0.10 [0.08–0.14]*

Marshall 2003

[17]

RCT

University employees

(n = 1409, results on

n = 800 responded to questionnaire)

8 week programme with printed (I1)

or website (I2) education

and 4 reinforcement moments

respectively by letter and e-mail.

46% (n = 655)

male gender

age (yrs, mean)

intermediate or high education

married

BMI (kg/m2, mean)

good or excellent general health

full-time employment

academic job classification

0.77 [0.53–1.10]

Δ = 0 yrs; d = 0.00

0.70 [0.46–1.07]

1.15 [0.78–1.70]

Δ = 1 kg/m2; d = 0.14

0.69 [0.37–1.27]

0.69 [0.41–1.16]

0.79 [0.55–1.14]

Cornfeld 2002

[15]

cohort

Employees and spouses of 6 companies

(n = 21396)

1-time health risk assessment

with personalized feedback

letters on cancer risk factors

21% (n = 4395)

male gender

age (yrs, mean)

Caucasian ethnicity

1.16 [1.09–1.24]*

P: 44.8; all: 43.0

4.05 [3.52–4.67]*

Gold

2000

[21]

nonrandomized

controlled trial

Employees of 6 organizations from

the private and public sector

(n = 1741)

Education materials, followed by 6-monthly

telephone counselling sessions for 12 to 24

months on 7 risk areas (physical activity,

nutrition, weight, smoking, stress management,

back care, and cholesterol control)

35% (n = 607)

male gender

age (yrs, mean)

# health risks (lifestyle areas, 0–13)

1.13 [0.93–1.38]

Δ = -1 yr

Δ = -0.34 health risks*

Blake

1996

[14]

cohort

community intervention trial

Employees in businesses participating

in the Minnesota Heart Health Program

intervention (n = 17626)

3 exercise competitions between

companies with recording the

type and minutes of daily exercise.

37% (n = 6495)

male gender

company size, 45–500 employees

company size, > 500 employees

0.28 [0.26–0.31]*

0.22 [0.19–0.25]*

0.09 [0.08–0.10]*

Hooper 1995

[22]

cross-sectional

University employees and spouses

(n = 338)

Self-monitoring to increase

physical activity over

a period of 20 weeks.

30% (n = 103)

male gender

higher education

white ethnicity

married

full-time employment

faculty employees

1.20 [0.70–2.07]

1.06 [0.66–1.71]

1.18 [0.45–3.11]

0.91 [0.50–1.66]

1.86 [1.01–3.43]*

0.68 [0.40–1.13]

Baer

1993

[13]

Nonrandomized controlled trial

Management-level male employees with

elevated total cholesterol levels

(n = 70)

An individual instruction,

every 3 months group meetings,

and monthly telephone support to

decrease cholesterol level.

47% (n = 33)

age (yrs, mean)

aerobic activity (days/wk, mean)

cholesterol level > 6.17

weight (kg, mean)

% body fat (mean)

non smoker

Δ = 9 yrs*; d = 2.55

Δ = 0 days/wk; d = 0.00

14.3 [4.2–50.0]*

Δ = 1 kg; d = 0.39

Δ = 1%; d = 0.24

3.00 [0.56–16.03]

Mavis

1992

[18]

cross-sectional

Stratified sample of university employees

(n = 110 invited, 81% response)

Health fair and health habit modification

programmes on exercise, weight control,

stress management and smoking cessation.

25% of respondents

(n = 22)

male gender

age (yrs, mean)

married/cohabiting

income above $30.000

faculty employees (vs clerical/support)

0.30 [0.11–0.83]*

Δ = 5.6*

1.89 [0.70–5.11]

0.62 [0.19–2.03]

0.11 [0.02–0.60]*