Activate Your Health, a 3-year, multi-site, workplace healthy lifestyle promotion program: study design

Thiffya Arabi Kugathasan, François Lecot, Suzanne Laberge, Jonathan Tremblay, Marie-Eve Mathieu, Thiffya Arabi Kugathasan, François Lecot, Suzanne Laberge, Jonathan Tremblay, Marie-Eve Mathieu

Abstract

Background: Workplace Health Promotion Programs (WHPP) have been shown to be an efficient way of improving workers' health. These programs can be incorporated in the worker's daily schedule and improve their productivity at work. Improving employees' health also benefits the employers by increasing their return on investment and lowering healthcare costs. The Activate Your Health program, created by Capsana in 2015, is a WHPP targeting multiple lifestyle habits for a three-year period. This WHPP includes tailored web-based interventions and the support of different health professionals throughout the years. We hypothesize that this approach will yield long-term lifestyle changes. The objective of the current paper is to describe the Activate Your Health program's design.

Methods/design: Eleven companies are taking part in this WHPP and had to choose among five different options of this program and all their employees were encouraged to participate. Each option differs by the number and type of interventions included. The limited option, which is considered the control group, only consists in completing a questionnaire regarding their health status, lifestyle habits and behaviors. On the other end, the extensive option receives a combination of multiple interventions: online menus, health challenges, support in creating a healthy work environment, coaching by health professionals (nurse, nutritionist, and kinesiologist), health screening and flexibility assessment, online resources, social health platform, and activity tracking. The remaining options are in between these options and vary by the amount of intervention. Baseline data are already gathered; two other data collection periods will take place after one and 2 years into the program. The primary outcomes of the current program are physical activity and fitness measures, nutritional data, smoking habits, stress and intention to change.

Discussion: The Activate Your Health program will allow us to compare which combinations of interventions are the most effective. It is expected that the extensive option will be the most advantageous to improve lifestyle habits. The results will indicate the strength and weakness of each intervention and how it could be improved.

Trial registration: Clinicaltrails.gov, registration number: NCT02933385 (updated on the 26th of March 2019, initially registered on the 5th of October 2016).

Keywords: Health promotion program; Lifestyle change; Lifestyle habits; Workplace.

Conflict of interest statement

All the authors (TAK, FL, SL, JT, MEM) declare a potential conflict of interest as the program is co-financed by the Public Health Agency of Canada and Capsana. However, none of the authors work for Capsana.

References

    1. World Health Organization . Integrated chronic disease prevention and control. 2018.
    1. Public Health Agency of Canada . How healthy are Canadians? A trend analysis of the health of canadians from a healthy living and chronic disease perspective. 2016.
    1. Public Health Agency of Canada . Preventing Chronic Disease Stragegic Plan 2013–2016. 2013.
    1. Sun Life Financial . Chronic Disease in the Workplace: Focus on Prevention and Support. 2018.
    1. Vuong Tam D., Wei Feifei, Beverly Claudia J. Absenteeism due to Functional Limitations Caused by Seven Common Chronic Diseases in US Workers. Journal of Occupational and Environmental Medicine. 2015;57(7):779–784. doi: 10.1097/JOM.0000000000000452.
    1. Robroek S. J. W., van den Berg T. I. J., Plat J. F., Burdorf A. The role of obesity and lifestyle behaviours in a productive workforce. Occupational and Environmental Medicine. 2010;68(2):134–139. doi: 10.1136/oem.2010.055962.
    1. Institut National de Santé Public Québec . Les saines habitudes de vie. 2018.
    1. Ordre Professionnel des Inhalothérapeutes du Québec. Parlons de saines habitudes de vie! (2018). . Accessed 6 Dec 2018.
    1. Elwood Peter, Galante Julieta, Pickering Janet, Palmer Stephen, Bayer Antony, Ben-Shlomo Yoav, Longley Marcus, Gallacher John. Healthy Lifestyles Reduce the Incidence of Chronic Diseases and Dementia: Evidence from the Caerphilly Cohort Study. PLoS ONE. 2013;8(12):e81877. doi: 10.1371/journal.pone.0081877.
    1. Willett W. C. Balancing Life-Style and Genomics Research for Disease Prevention. Science. 2002;296(5568):695–698. doi: 10.1126/science.1071055.
    1. Leitzmann Michael F. Physical Activity Recommendations and Decreased Risk of Mortality. Archives of Internal Medicine. 2007;167(22):2453. doi: 10.1001/archinte.167.22.2453.
    1. Public Health Agency of Canada . L’obésité chez les adultes canadiens – plus qu’une question de poids. 2017.
    1. Seguin Rebecca, Connor Leah, Nelson Miriam, LaCroix Andrea, Eldridge Galen. Understanding Barriers and Facilitators to Healthy Eating and Active Living in Rural Communities. Journal of Nutrition and Metabolism. 2014;2014:1–8. doi: 10.1155/2014/146502.
    1. Bureau of Labor Statistics . American Time Use Survey — 2017 Results. 2017.
    1. Proper Karin I, Hildebrandt Vincent H, Van der Beek Allard J, Twisk Jos W.R, Van Mechelen Willem. Effect of individual counseling on physical activity fitness and health. American Journal of Preventive Medicine. 2003;24(3):218–226. doi: 10.1016/S0749-3797(02)00645-1.
    1. Eng J. Y., Moy F. M., Bulgiba A. Impact of a Workplace Health Promotion Program on Employees’ Blood Pressure in a Public University. PLOS ONE. 2016;11(2):e0148307. doi: 10.1371/journal.pone.0148307.
    1. Jarman L, Martin A, Venn A, Otahal P, Sanderson K. Does workplace health promotion contribute to job stress reduction? Three-year findings from partnering healthy@work. BMC Public Health. 2015. 10.1186/s12889-015-2625-1.
    1. Czabała Czesław, Charzyńska Katarzyna, Mroziak Barbara. Psychosocial interventions in workplace mental health promotion: an overview. Health Promotion International. 2011;26(suppl_1):i70–i84. doi: 10.1093/heapro/dar050.
    1. Mills Peter R., Kessler Ronald C., Cooper John, Sullivan Sean. Impact of a Health Promotion Program on Employee Health Risks and Work Productivity. American Journal of Health Promotion. 2007;22(1):45–53. doi: 10.4278/0890-1171-22.1.45.
    1. Sjøgaard Gisela, Christensen Jeanette Reffstrup, Justesen Just Bendix, Murray Mike, Dalager Tina, Fredslund Gitte Hansen, Søgaard Karen. Exercise is more than medicine: The working age population's well-being and productivity. Journal of Sport and Health Science. 2016;5(2):159–165. doi: 10.1016/j.jshs.2016.04.004.
    1. Hendriksen Ingrid J.M., Snoijer Mirjam, de Kok Brenda P.H., van Vilsteren Jeroen, Hofstetter Hedwig. Effectiveness of a Multilevel Workplace Health Promotion Program on Vitality, Health, and Work-Related Outcomes. Journal of Occupational and Environmental Medicine. 2016;58(6):575–583. doi: 10.1097/JOM.0000000000000747.
    1. Baicker Katherine, Cutler David, Song Zirui. Workplace Wellness Programs Can Generate Savings. Health Affairs. 2010;29(2):304–311. doi: 10.1377/hlthaff.2009.0626.
    1. World Health Organization. Workplace Health Promotion. (n.d.). Accessed 8 Jul 2019.
    1. McEachan Rosemary RC, Lawton Rebecca J, Jackson Cath, Conner Mark, Meads David M, West Robert M. Testing a workplace physical activity intervention: a cluster randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):29. doi: 10.1186/1479-5868-8-29.
    1. Baxter Siyan, Sanderson Kristy, Venn Alison J., Blizzard C. Leigh, Palmer Andrew J. The Relationship between Return on Investment and Quality of Study Methodology in Workplace Health Promotion Programs. American Journal of Health Promotion. 2014;28(6):347–363. doi: 10.4278/ajhp.130731-LIT-395.
    1. Goetzel Ron Z., Henke Rachel Mosher, Tabrizi Maryam, Pelletier Kenneth R., Loeppke Ron, Ballard David W., Grossmeier Jessica, Anderson David R., Yach Derek, Kelly Rebecca K., McCalister Treʼ, Serxner Seth, Selecky Christobel, Shallenberger Leba G., Fries James F., Baase Catherine, Isaac Fikry, Crighton K. Andrew, Wald Peter, Exum Ellen, Shurney Dexter, Metz R. Douglas. Do Workplace Health Promotion (Wellness) Programs Work? Journal of Occupational and Environmental Medicine. 2014;56(9):927–934. doi: 10.1097/JOM.0000000000000276.
    1. Capsana . Capsana: About Us. 2018.
    1. Kouwenhoven-Pasmooij Tessa A, Robroek Suzan JW, Nieboer Daan, Helmhout Pieter H, Wery Machteld F, Hunink Myriam, Burdorf Alex. Quality of motivational interviewing matters: the effect on participation in health-promotion activities in a cluster randomized controlled trial. Scandinavian Journal of Work, Environment & Health. 2018;44(4):414–422. doi: 10.5271/sjweh.3716.
    1. Marshall A.L. Challenges and opportunities for promoting physical activity in the workplace. Journal of Science and Medicine in Sport. 2004;7(1):60–66. doi: 10.1016/S1440-2440(04)80279-2.
    1. Renaud L, Kishchuk N, Juneau M, Nigam A, Tereault K, Leblanc MC. Implementation and outcomes of a comprehensive worksite health promotion program. Can J Public Health = Revue canadienne de sante publique. 2008;99(1):73–77.
    1. Spin J. Our services. 2014.
    1. Public Health Agency of Canada: CANRISK Questionnaire canadien sur le risque de diabète: Guide de l'utilisateur à l'intention des pharmaciens. (n.d.). . Accessed 27 Jan 2019.
    1. Sprout . About Us: Corporate wellness platform and solutions for workplace wellness. 2019.
    1. Capsana . The Quit to Win! Challenge. 2019.
    1. Fenton S, Pinilla Roncancio M, Sing M, Sadhra S, Carmichael F. Workplace wellbeing programmes and their impact on employees and their employing organisations: a scoping review of the evidence base. 2014.
    1. Groeneveld IF, Proper KI, van der Beek AJ, Hildebrandt VH, van Mechelen W. Lifestyle-focused interventions at the workplace to reduce the risk of cardiovascular disease--a systematic review. Scand J Work Environ Health. 2010;36(3):202–215. doi: 10.5271/sjweh.2891.
    1. Proper KI, Koning M, Van der Beek AJ, Hildebrandt VH, Bosscher RJ, van Mechelen W. The effectiveness of worksite physical activity programs on physical activity, physical fitness, and health. Clin J Sport Med. 2003;13(2):106–117. doi: 10.1097/00042752-200303000-00008.
    1. Tveito Torill H., Eriksen Hege R. Integrated health programme: a workplace randomized controlled trial. Journal of Advanced Nursing. 2009;65(1):110–119. doi: 10.1111/j.1365-2648.2008.04846.x.
    1. American Heart Association. Workplace Health Playbook, Strategies for a Healthier Workforce: Life’s Simple 7. (n.d.). . Accessed 27 Jan 2019.
    1. Stiehl Emily, Shivaprakash Namrata, Thatcher Esther, Ornelas India J., Kneipp Shawn, Baron Sherry L., Muramatsu Naoko. Worksite Health Promotion for Low-Wage Workers: A Scoping Literature Review. American Journal of Health Promotion. 2017;32(2):359–373. doi: 10.1177/0890117117728607.
    1. O'Donnell M. Health promotion in the workplace: improving awareness, enhancing motivation, building skills and creating opportunities. Art Sci Health Promot Inst. 2018; . Accessed 06 May 2019.
    1. Robroek Suzan JW, van Lenthe Frank J, van Empelen Pepijn, Burdorf Alex. Determinants of participation in worksite health promotion programmes: a systematic review. International Journal of Behavioral Nutrition and Physical Activity. 2009;6(1):26. doi: 10.1186/1479-5868-6-26.
    1. Lustria MLA, Noar SM, Cortese J, Van Stee SK, Glueckauf RL, Lee J. “A meta-analysis of web-delivered tailored health behavior change interventions”: corrigendum. J Health Commun. 2013. 10.1080/10810730.2013.852950.
    1. Krebs Paul, Prochaska James O., Rossi Joseph S. A meta-analysis of computer-tailored interventions for health behavior change. Preventive Medicine. 2010;51(3-4):214–221. doi: 10.1016/j.ypmed.2010.06.004.
    1. Huang Jing-Juin, Lin Huey-Shyan, Yen Miaofen, Kan Wai-Ming, Lee Bih-O., Chen Ching-Huey. Effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program. Asian Nursing Research. 2013;7(2):74–82. doi: 10.1016/j.anr.2013.04.001.
    1. Goetzel Ron Z., Ozminkowski Ronald J. The Health and Cost Benefits of Work Site Health-Promotion Programs. Annual Review of Public Health. 2008;29(1):303–323. doi: 10.1146/annurev.publhealth.29.020907.090930.
    1. Nilsen Vegard, Bakke Per Sigvald, Rohde Gudrun, Gallefoss Frode. Predictors of health-related quality of life changes after lifestyle intervention in persons at risk of type 2 diabetes mellitus. Quality of Life Research. 2014;23(9):2585–2593. doi: 10.1007/s11136-014-0702-z.

Source: PubMed

3
Se inscrever