Dataset Information

Initiation and Maintenance of Fitness Center Utilization in an Incentive-Based Employer Wellness Program.

ABSTRACT:

Objective

To investigate the initiation and maintenance of participation in an employer-based wellness program that provides financial incentives for fitness center utilization.

Methods

Using multivariate analysis, we investigated how employees' demographics, health status, exercise-related factors, and lifestyle change preferences affect program participation.

Results

Forty-two percent of eligible employees participated in the program, and 24% earned a $20 incentive at least once by utilizing a gym eight times or more in a month. On average, participants utilized fitness centers 7.0 months each year and earned credit 4.5 months. Participants' utilization diminished after their first year in the program.

Conclusions

Factors associated with initiation and maintenance of fitness center utilization were similar. Declining utilization over time raises concern about the long-run effectiveness of fitness-focused wellness programs. Employers may want to consider additional levers to positively reinforce participation.

SUBMITTER: Abraham JM

PROVIDER: S-EPMC4562030 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Initiation and Maintenance of Fitness Center Utilization in an Incentive-Based Employer Wellness Program.

Abraham Jean Marie JM Crespin Daniel J DJ Rothman Alexander J AJ

Journal of occupational and environmental medicine 20150901 9

<h4>Objective</h4>To investigate the initiation and maintenance of participation in an employer-based wellness program that provides financial incentives for fitness center utilization.<h4>Methods</h4>Using multivariate analysis, we investigated how employees' demographics, health status, exercise-related factors, and lifestyle change preferences affect program participation.<h4>Results</h4>Forty-two percent of eligible employees participated in the program, and 24% earned a $20 incentive at lea ...[more]

PMID: 26340283

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Project description:Background As the pharmacy profession transforms toward practice centered around direct patient care and clinical services, upskilling the existing workforce may be required for pharmacists to take on expanded roles, especially in an increasingly competitive job market. Objective To explore pharmacist employer perceptions of a primary care certificate training program including its design, value, and relevance and to develop and implement a pharmacist primary care certificate training program based on study results. Methods Focus groups were conducted to a point of saturation in December 2020 via video conference. Participants were identified via the study institution's continuing professional development registrant listserv and invited to participate via self-selection. Interviews were recorded, transcribed, and underwent inductive thematic analysis. Results Four focus groups were conducted with 15 pharmacist employers. Employers perceived primary care certificate training as valuable, helping pharmacists sustain shifting roles and increasing opportunities in a competitive job market. A combination of clinical and practice management topics with emphasis on an experiential component was recommended to achieve expected competency levels and favorably influence hiring decisions. The primary care certificate was specifically recommended to pharmacists aiming to transition into primary care or for pharmacists who did not complete residency training. Conclusions This study's findings informed development of a pharmacist primary care certificate program containing didactic and experiential training on a variety of key topics. As pharmacists' roles evolve, this program may prepare pharmacists to engage in direct patient care and develop skills and expertise necessary to succeed in outpatient primary care. Highlights • Employers prioritize and expect training beyond terminal degrees to bridge the gap between education and practice.• Employers valued primary care certificate programs for making candidates more marketable and influencing hiring decisions.• A primary care certificate program will prepare pharmacists to develop skills to succeed in outpatient primary care.

Project description:BackgroundExercise prehabilitation is an evidence-based, safe, and effective method to increase quality of life, physical fitness and function, and post-surgical outcomes in solid organ transplant (SOT) patients. However, few prehabilitation programs for SOT patients exist in practice. Furthermore, there is a lack of multimodal prehabilitation programs that include behavior change support. To address this need, the Transplant Wellness Program (TWP) was designed.ObjectivesThe objective of the TWP is to assess both the effectiveness and implementation of a comprehensive and multimodal exercise and wellness behavior change intervention for patients undergoing kidney or liver transplant.DesignThe TWP is a hybrid effectiveness-implementation trial consisting of exercise and wellness behavior change support.PatientsIndividuals who are in evaluation or listed for kidney or liver transplant in Southern Alberta, Canada.MeasurementsThe primary outcomes of self-reported exercise and quality of life are assessed at intake, post-exercise intervention, 6 months post-intake, 12 weeks post-transplant, and annually for 5 years after program completion. Functional fitness measures will be assessed at intake, post-exercise intervention, 12 weeks post-transplant, 6 months post-intake, and 1-year post-intake. The reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework is used to determine the impact of TWP at the individual and health care system level.MethodsRecruitment began in November 2023 and will continue until November 2028. Participants take part in a 12-week exercise intervention and are offered individualized and group behavior change support. Continued exercise support is offered through maintenance classes after the completion of the 12-week intervention.LimitationsThe design of the hybrid effectiveness-implementation trial with a single experimental group will not allow for comparisons to a control or usual care group, potentially impacting internal validity. Differences in number of participants between organ groups (kidney vs liver) and cohorts (pre-transplant vs post-transplant) will likely be uneven, requiring consideration when running and interpreting analyses.ConclusionsThe TWP aims to support patients throughout the transplant journey through a multimodal and comprehensive exercise and wellness behavior change program. Results from this study will determine the effectiveness of the program and inform future scale-up and sustainability.Trial registry numberNCT06367244.

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Dataset Information

Initiation and Maintenance of Fitness Center Utilization in an Incentive-Based Employer Wellness Program.

Objective

Methods

Results

Conclusions

Publications

Initiation and Maintenance of Fitness Center Utilization in an Incentive-Based Employer Wellness Program.

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