“…This work builds on growing evidence about the potential benefits of integrated approaches for improvements in health behaviors (Bertera, 1990, 1993; Elliot et al, 2007; Maes et al, 1998; Okechukwu et al, 2009; Olson et al, 2009; Sorensen et al, 2005; Sorensen et al, 2007; Sorensen et al, 1998; Sorensen et al, 2002); enhanced rates of employee participation in programs (Hunt et al, 2005); potential reductions in pain, occupational injury and disability rates (Hlobil et al, 2007; Pronk et al, 2012; Robertson et al, 2013; Shaw et al, 2006; Shaw et al, 2003; Tsutsumi et al, 2009); strengthened health and safety programs (Goetzel et al, 2001; LaMontagne et al, 2004); potentially reduced costs (Goetzel et al, 2001); and support for market performance of companies (Fabius et al, 2016; Malan et al, 2009). These findings are supported by multiple reviews of integrated interventions (Anger et al, 2015; Cherniack, 2013; Cooklin et al, in press; Goetzel, 2012; Institute of Medicine Committee to Assess Worksite Preventive Health Program Needs for NASA Employees, 2005; National Institute for Occupational Safety and Health, 2012; Pronk, 2013; Sorensen et al, 2011a), although a recent systematic review concluded that while integrated interventions may improve health behaviors, there remains a significant need for further evidence on their impact on injuries and overall quality of life (Feltner et al, 2016). …”