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South African Journal of Occupational Therapy
On-line version ISSN 2310-3833
Print version ISSN 0038-2337
S. Afr. j. occup. ther. vol.39 n.1 Pretoria May. 2009
Uptake and drop-out from a corporate health-promotion programme for employees with health risks
Alan D RothbergI; Yoganathan CoopooII; Colin BurnsIII; Denise FranzsenIV
IIMBBCh, PhD, FCP; Head of School of Therapeutic Sciences Faculty of Health Sciences, University of the Witwatersrand
IID.Phil, FACSM; Adjunct Professor, Centre for Exercise Science and Sports Medicine, Faculty of Health Sciences, University of Witwatersrand
IIIMBChB; HealthInSite
IVB SC (OT), M Sc (OT), DHT; Lecturer, Department of Occupational Therapy , School of Therapeutic Sciences, Faculty of Health Sciences, University of Witwatersrand
ABSTRACT
This study was: to offer a group of at-risk employees individualised fitness programmes; to assess their occupational imbalance and alienation, and to monitor engagement in the programme in the context of the Model of Human Occupation. Participants were offered a physical assessment, an individualised fitness programme, health risk and life balance questionnaires, personalised feedback and a metabolic assessment. Uptake, drop-out and retention were measured, and profiles of participants in the latter two categories were analysed.
Of 122 employees with previously-identified health risks, 52% declined to participate, 20% dropped out and 23% completed the six month programme. The drop-outs constituted a higher-risk sub-group which potentially has significant implications for the company's productivity. Identification of health risks should be supplemented by active intervention in terms of support for participants who are ready for change and assessment of personal causation, interests, values, roles and habits, for those who fail to respond or who respond but drop out.
Key words: Health Risks, Model of Human Occupation, Retention and drop out, Health promotion programme
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References
1. WHO. "Ottawa Charter for Health Promotion". Health promotion International; l:ii-v. 1986 [ Links ]
2. Epp J. Achieving health for all: a framework for health promotion. Canadian Journal of Public Health 1986;77(6):393-430. [ Links ]
3. Law M, Steinwender S, Leclair L. Occupation, health and well-being. CJOT 1998;66(2):81. [ Links ]
4. Wilcox AA. An Occupational Perspective of Health. NJ: Slack Inc.; 1998. [ Links ]
5. Growth of the South African Economy 1999-2005. Available at: www.southafrica.info/doing_business. Accessed Sept 23, 2007. [ Links ]
6. Adult mortality (age l5-64) based on death notification data in South Africa. 2005; Available at: http://www.statssa.gov.za/publications/publicationsearch.asp. Accessed Sept 10, 2006. [ Links ]
7. Ker J, Rheeder P, van Tonder R. Frequency of the metabolic syndrome in screened South African corporate executives. Cardiovasc J S Afr 2007;18(1):30-33. [ Links ]
8. WHO. Global status report on Alcohol. 2004; Available at: http:// www.who.int/substance_abuse/publications/global_status_report_2004_overview.pdf. Accessed July 8, 2007. [ Links ]
9. South African smoking statistics. Available at: http://www.afro.who.int/dnc/infobase/. Accessed July 14, 2007. [ Links ]
10. Musich S, Hook D, Baaner S, Edington DW. The association of two productivity measures with health risks and medical conditions in an Australian employee population. Am J Health Promot 2006; 20(5):353-363. [ Links ]
11. Boles M, Pelletier B, Lynch W. The relationship between health risks and work productivity. J Occup Environ Med 2004;46(7):737-745. [ Links ]
12. Goetzel RZ, Schechter D, Ozminkowski, R.J. Marmet, P.F., Tabrizi MJ, Chung Roemer E. Promising practices in employer health and productivity management efforts: findings from a benchmarking study. J Occup Environ Med 2007;49(2):111-130. [ Links ]
13. Pelletier KR. A review and analysis of the clinical- and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite:1998-2000 update. Am J Health Promot 2001;16(2):107-116. [ Links ]
14. Kielhofner G editor. Model of Human Occupation. Theory and Application. 3rd ed. Baltimore: Lippicott, Williams and Wilkins; 2002. [ Links ]
15. Bray GA. Obesity: definition, diagnosis and disadvantages. Med J Aust 1985; 142 (7 Suppl):S2-8. [ Links ]
16. Pollock ML, Jackson AS. Research progress in validation of clinical methods of assessing body composition. Med Sci Sports Exerc 1984; 16(6): 606-615. [ Links ]
17. Golding LA, Myers CR, Sinning WE. Y's ways to physical fitness. Human Kinetics. 3rd ed. Champaign, Illinois; Human Kinetics Publishers; 1989. [ Links ]
18. Malavolti M, Pietrobelli A, Dugoni M, Poli M, Romagnoli E, De Cristofaro P, et al. A new device for measuring daily total energy expenditure (TEE) in free living individuals. Int J Body Comp Res 2005; 3(1):63-68. [ Links ]
19. Prochaska J, Norcross J, DiClemente C. Self-Leadership: Diclemente, Norcross & Prochaska's Changing for Good. Available at: http://www.positiveworkplace.com/. Accessed Jan 28, 2008. [ Links ]
20. Rosenstock I M, Strecher, VJ and Becker HM. Social Learning Theory and the Health Belief Model. Health Education and Behavior 1988 15( 2) 175-183 [ Links ]
21. Young JM. Promoting health at the workplace: challenges of prevention, productivity, and program implementation. N C Med J 2006;67(6):417-424. [ Links ]
22. Burton WN, Chen C, Conti DJ, Schultz AB, Edington DW. The association between health risk change and presenteeism change. J Occup Environ Med 2006;48(3):252-263. [ Links ]
23. Burton WN, Chen CY Conti DJ, Schultz AB, Pransky G, Edington DW. The association of Health Risks with on the Job Productivity. J Occup Environ Med 2005;47(8):769-777. [ Links ]
24. Blair SN, Piserchia PV, Wilbur CS, Crowder JH. A public health intervention model for work-site health promotion. Impact on exercise and physical fitness in a health promotion plan after 24 months. JAMA 1986;255(7):921-926. [ Links ]
25. Voit S. Work-site health and fitness programs: Impact on the employee and employer. Work 2001;16(3):273-286. [ Links ]
26. Heirich MA, Foote A, Erfurt JC, Konopka B. Work-site physical fitness programs. Comparing the impact of different program designs on cardiovascular risks. J Occup Med 1993;35(5):510-517. [ Links ]
27. McGillivray D. Health Promotion in the Workplace.: a missed opportunity? Health Education 2002; 102(2):60-67. [ Links ]
Correspondence:
Alan D Rothberg MBBCh
Head of School of Therapeutic Sciences
Faculty of Health Sciences, University of the Witwatersrand
7 York Rd.
PARKTOWN 2193
Alan.Rothberg@wits.ac.za