Workplace Health Promotion Implementation, Readiness, and Capacity Among Midsize Employers in Low-Wage Industries

Hannon, Peggy A.; Garson, Gayle; Harris, Jeffrey R.; Hammerback, Kristen; Sopher, Carrie J.; Clegg-Thorp, Catherine

doi:10.1097/jom.0b013e3182717cf2

Cited by 73 publications

(88 citation statements)

References 37 publications

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“…20 They found that the capacity of small employers to implement worksite health promotion was very low. The average capacity score (measure assessing capacity to implement a program) was 0.6 (0 to 3 range) and 1.08 for medium-sized employers.…”

Section: Resultsmentioning

confidence: 99%

Health Promotion in Small Business

McCoy

Stinson

Scott

et al. 2014

Journal of Occupational &Amp; Environmental Medicine

139

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Objective To assess the evidence regarding the adoption and efficacy of worksite health promotion programs (WHPPs) in small businesses. Methods Peer-reviewed research articles were identified from a database search. Included articles were published before July 2013, described a study that used an experimental or quasiexperimental design and either assessed adoption of WHPPs or conducted interventions in businesses with fewer than 500 employees. A review team scored the study’s rigor using the WHO-adapted GRADEprofiler “quality of evidence” criteria. Results Of the 84 retrieved articles, 19 met study inclusion criteria. Of these, only two met criteria for high rigor. Conclusions Fewer small businesses adopt WHPPs compared with large businesses. Two high-rigor studies found that employees were healthier postintervention. Higher quality research is needed to better understand why small businesses rarely adopt wellness programs and to demonstrate the value of such programs.

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Section: Resultsmentioning

confidence: 99%

Health Promotion in Small Business

McCoy

Stinson

Scott

et al. 2014

Journal of Occupational &Amp; Environmental Medicine

139

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“…industries, even when employers agreed that workplace health-promotion programs might benefit them, they were less likely to agree that implementation of workplace health-promotion programs was feasible (29).…”

Section: Wwwannualreviewsorg • Health Promotion In Smaller Workplacesmentioning

confidence: 98%

“…Similarly, definitions vary for medium-sized workplaces. Recent national surveys have used upper limits of 750 (46), 999 (14), and 4,999 employees (29). In this review, we define small and medium-sized workplaces as having 1,000 or fewer employees and, for the sake of brevity, refer to them collectively as smaller workplaces.…”

Section: Definitions Of Smaller Workplaces and Workplace Health Promomentioning

confidence: 99%

“…Many smaller employers have limited internal capacity to implement workplace health promotion (49). In a recent national survey, most smaller employers in low-wage industries said they did not have a workplace health-promotion budget, a dedicated staff person, or a wellness committee (29), resources that are strongly associated with the presence of workplace health-promotion programs (29,46).…”

Section: Capacity Challengesmentioning

confidence: 99%

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Health Promotion in Smaller Workplaces in the United States

Harris

Hannon

Beresford

et al. 2014

Annu. Rev. Public Health

Self Cite

143

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Most American workplaces are smaller, with fewer than 1,000 employees. Many of these employees are low-wage earners and at increased risk for chronic diseases. Owing to the challenges smaller workplaces face to offering health-promotion programs, their employees often lack access to healthpromotion opportunities available at larger workplaces. Many smaller employers do not offer health insurance, which is currently the major funding vehicle for health-promotion services. They also have few health-promotion vendors to serve them and low internal capacity for, and commitment to, delivery of on-site programs. The programs they offer, whether aimed at health promotion alone or integrated with health protection, are rarely comprehensive and are understudied. Research priorities for health promotion in smaller workplaces include developing programs feasible for the smallest workplaces with fewer than 20 employees. Policy priorities include incentives for smaller workplaces to implement comprehensive programs and an ongoing system for monitoring and evaluation.

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“…(13–18) Results from these studies suggest that organizational factors such as company size, industrial sector, existence of top leadership support for OSH or WHP programs, and organizational capacity, in terms of dedicated staff, budgets, and committees to implement OSH and WHP are of potential importance. (19–22)…”

Section: Background/objectivesmentioning

confidence: 99%

Organizational Characteristics Influence Implementation of Worksite Health Protection and Promotion Programs

McLellan

Caban‐Martinez

Nelson

et al. 2015

Journal of Occupational &Amp; Environmental Medicine

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Objective We explored associations between organizational factors (size, sector, leadership support, and organizational capacity) and implementation of Occupational Safety and Health (OSH) and Worksite Health Promotion (WHP) programs in smaller businesses. Methods We conducted a web-based survey of Human Resource Managers of 117 smaller businesses (<750 employees) and analyzed factors associated with implementation of OSH and WHP among these sites using multivariate analyses. Results Implementation of OSH but not WHP activities were related to industry sector (p= 0.003). Leadership support was positively associated with OSH activities (p<.001), but negatively associated with WHP implementation. Organizational capacity (budgets, staffing, and committee involvement) was associated with implementation of both OSH and WHP. Size was related to neither. Conclusions Leadership support and specifically allocated resources reflecting that support are important factors for implementing OSH and WHP in smaller organizations.

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Workplace Health Promotion Implementation, Readiness, and Capacity Among Midsize Employers in Low-Wage Industries

Cited by 73 publications

References 37 publications

Health Promotion in Small Business

Health Promotion in Small Business

Health Promotion in Smaller Workplaces in the United States

Organizational Characteristics Influence Implementation of Worksite Health Protection and Promotion Programs

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