Skip to main content
Top
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Healthcare workers' participation in a healthy-lifestyle-promotion project in western Sweden

Authors: Ingibjörg H Jonsdottir, Mats Börjesson, Gunnar Ahlborg Jr

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

Healthcare professionals play a central role in health promotion and lifestyle information towards patients as well as towards the general population, and it has been shown that own lifestyle habits can influence attitudes and counselling practice towards patients. The purpose of this study was to explore the participation of healthcare workers (HCWs) in a worksite health promotion (WHP) programme. We also aimed to find out whether HCWs with poorer lifestyle-related health engage in health-promotion activities to a larger extent than employees reporting healthier lifestyles.

Method

A biennial questionnaire survey was used in this study, and it was originally posted to employees in the public healthcare sector in western Sweden, one year before the onset of the WHP programme. The response rate was 61% (n = 3207). In the four-year follow-up, a question regarding participation in a three-year-long WHP programme was included, and those responding to this question were included in the final analysis (n = 1859). The WHP programme used a broad all-inclusive approach, relying on the individual's decision to participate in activities related to four different themes: physical activity, nutrition, sleep, and happiness/enjoyment.

Results

The participation rate was around 21%, the most popular theme being physical activity. Indicators of lifestyle-related health/behaviour for each theme were used, and regression analysis showed that individuals who were sedentary prior to the programme were less likely to participate in the programme's physical activities than the more active individuals. Participation in the other three themes was not significantly predicted by the indicators of the lifestyle-related health, (body mass index, sleep disturbances, or depressive mood).

Conclusion

Our results indicate that HCWs are not more prone to participate in WHP programmes compared to what has been reported for other working populations, and despite a supposedly good knowledge of health-related issues, HCWs reporting relatively unfavourable lifestyles are not more motivated to participate. As HCWs are key actors in promoting healthy lifestyles to other groups (such as patients), it is of utmost importance to find strategies to engage this professional group in activities that promote their own health.
Literature
1.
go back to reference Beaglehole R, Ebrahim S, Reddy S, Voute J, Leeder S: Prevention of chronic diseases: a call to action. Lancet. 2007, 370 (9605): 2152-2157. 10.1016/S0140-6736(07)61700-0.CrossRefPubMed Beaglehole R, Ebrahim S, Reddy S, Voute J, Leeder S: Prevention of chronic diseases: a call to action. Lancet. 2007, 370 (9605): 2152-2157. 10.1016/S0140-6736(07)61700-0.CrossRefPubMed
2.
go back to reference Robroek SJ, van Lenthe FJ, van Empelen P, Burdorf A: Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phys Act. 2009, 6: 26-10.1186/1479-5868-6-26.CrossRefPubMedPubMedCentral Robroek SJ, van Lenthe FJ, van Empelen P, Burdorf A: Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phys Act. 2009, 6: 26-10.1186/1479-5868-6-26.CrossRefPubMedPubMedCentral
3.
go back to reference Aldana SG: Financial impact of health promotion programs: a comprehensive review of the literature. Am J Health Promot. 2001, 15 (5): 296-320.CrossRefPubMed Aldana SG: Financial impact of health promotion programs: a comprehensive review of the literature. Am J Health Promot. 2001, 15 (5): 296-320.CrossRefPubMed
4.
go back to reference Conn VS, Hafdahl AR, Cooper PS, Brown LM, Lusk SL: Meta-analysis of workplace physical activity interventions. Am J Prev Med. 2009, 37 (4): 330-339. 10.1016/j.amepre.2009.06.008.CrossRefPubMedPubMedCentral Conn VS, Hafdahl AR, Cooper PS, Brown LM, Lusk SL: Meta-analysis of workplace physical activity interventions. Am J Prev Med. 2009, 37 (4): 330-339. 10.1016/j.amepre.2009.06.008.CrossRefPubMedPubMedCentral
5.
go back to reference Goetzel RZ, Ozminkowski RJ: The health and cost benefits of work site health-promotion programs. Annu Rev Public Health. 2008, 29: 303-323. 10.1146/annurev.publhealth.29.020907.090930.CrossRefPubMed Goetzel RZ, Ozminkowski RJ: The health and cost benefits of work site health-promotion programs. Annu Rev Public Health. 2008, 29: 303-323. 10.1146/annurev.publhealth.29.020907.090930.CrossRefPubMed
6.
go back to reference Grosch JW, Alterman T, Petersen MR, Murphy LR: Worksite health promotion programs in the U.S.: factors associated with availability and participation. Am J Health Promot. 1998, 13 (1): 36-45.CrossRefPubMed Grosch JW, Alterman T, Petersen MR, Murphy LR: Worksite health promotion programs in the U.S.: factors associated with availability and participation. Am J Health Promot. 1998, 13 (1): 36-45.CrossRefPubMed
7.
go back to reference Lewis RJ, Huebner WW, Yarborough CM: Characteristics of participants and nonparticipants in worksite health promotion. Am J Health Promot. 1996, 11 (2): 99-106.CrossRefPubMed Lewis RJ, Huebner WW, Yarborough CM: Characteristics of participants and nonparticipants in worksite health promotion. Am J Health Promot. 1996, 11 (2): 99-106.CrossRefPubMed
8.
go back to reference Aittasalo M: Physical activity counselling in primary health care. Scand J Med Sci Sports. 2008, 18 (3): 261-262. 10.1111/j.1600-0838.2008.00843.x.CrossRefPubMed Aittasalo M: Physical activity counselling in primary health care. Scand J Med Sci Sports. 2008, 18 (3): 261-262. 10.1111/j.1600-0838.2008.00843.x.CrossRefPubMed
9.
go back to reference Lobelo F, Duperly J, Frank E: Physical activity habits of doctors and medical students influence their counselling practices. Br J Sports Med. 2009, 43 (2): 89-92.CrossRefPubMed Lobelo F, Duperly J, Frank E: Physical activity habits of doctors and medical students influence their counselling practices. Br J Sports Med. 2009, 43 (2): 89-92.CrossRefPubMed
10.
go back to reference Ampt AJ, Amoroso C, Harris MF, McKenzie SH, Rose VK, Taggart JR: Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Fam Pract. 2009, 10: 59-10.1186/1471-2296-10-59.CrossRefPubMedPubMedCentral Ampt AJ, Amoroso C, Harris MF, McKenzie SH, Rose VK, Taggart JR: Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Fam Pract. 2009, 10: 59-10.1186/1471-2296-10-59.CrossRefPubMedPubMedCentral
11.
go back to reference Abramson S, Stein J, Schaufele M, Frates E, Rogan S: Personal exercise habits and counseling practices of primary care physicians: a national survey. Clin J Sport Med. 2000, 10 (1): 40-48. 10.1097/00042752-200001000-00008.CrossRefPubMed Abramson S, Stein J, Schaufele M, Frates E, Rogan S: Personal exercise habits and counseling practices of primary care physicians: a national survey. Clin J Sport Med. 2000, 10 (1): 40-48. 10.1097/00042752-200001000-00008.CrossRefPubMed
12.
go back to reference Chevan J, Haskvitz EM: Do As I Do: Exercise Habits of Physical Therapists, Physical Therapist Assistants, and Student Physical Therapists. Phys Ther. 2010 Chevan J, Haskvitz EM: Do As I Do: Exercise Habits of Physical Therapists, Physical Therapist Assistants, and Student Physical Therapists. Phys Ther. 2010
13.
go back to reference Frank E: STUDENTJAMA. Physician health and patient care. JAMA. 2004, 291 (5): 637.-10.1001/jama.291.5.637.CrossRefPubMed Frank E: STUDENTJAMA. Physician health and patient care. JAMA. 2004, 291 (5): 637.-10.1001/jama.291.5.637.CrossRefPubMed
14.
go back to reference Kenna GA, Wood MD: Alcohol use by healthcare professionals. Drug Alcohol Depend. 2004, 75 (1): 107-116. 10.1016/j.drugalcdep.2004.01.008.CrossRefPubMed Kenna GA, Wood MD: Alcohol use by healthcare professionals. Drug Alcohol Depend. 2004, 75 (1): 107-116. 10.1016/j.drugalcdep.2004.01.008.CrossRefPubMed
15.
go back to reference Bazargan M, Makar M, Bazargan-Hejazi S, Ani C, Wolf KE: Preventive, lifestyle, and personal health behaviors among physicians. Acad Psychiatry. 2009, 33 (4): 289-295. 10.1176/appi.ap.33.4.289.CrossRefPubMed Bazargan M, Makar M, Bazargan-Hejazi S, Ani C, Wolf KE: Preventive, lifestyle, and personal health behaviors among physicians. Acad Psychiatry. 2009, 33 (4): 289-295. 10.1176/appi.ap.33.4.289.CrossRefPubMed
16.
go back to reference Vagropoulos I, Tsilchorozidou T, Tsinopoulos G, Salonikidou Z, Mouratova M, Giavropoulou M, Grigoriadis N: Smoking habits among the hospital staff of a General Hospital in northern Greece: a long way for smoke-free hospitals. Monaldi Arch Chest Dis. 2006, 65 (3): 160-164.PubMed Vagropoulos I, Tsilchorozidou T, Tsinopoulos G, Salonikidou Z, Mouratova M, Giavropoulou M, Grigoriadis N: Smoking habits among the hospital staff of a General Hospital in northern Greece: a long way for smoke-free hospitals. Monaldi Arch Chest Dis. 2006, 65 (3): 160-164.PubMed
17.
go back to reference Stein AD, Shakour SK, Zuidema RA: Financial incentives, participation in employer-sponsored health promotion, and changes in employee health and productivity: HealthPlus Health Quotient Program. J Occup Environ Med. 2000, 42 (12): 1148-1155. 10.1097/00043764-200012000-00005.CrossRefPubMed Stein AD, Shakour SK, Zuidema RA: Financial incentives, participation in employer-sponsored health promotion, and changes in employee health and productivity: HealthPlus Health Quotient Program. J Occup Environ Med. 2000, 42 (12): 1148-1155. 10.1097/00043764-200012000-00005.CrossRefPubMed
18.
go back to reference McCarty CA, Scheuer D: Lessons learned from employee fitness programs at the Marshfield Clinic. WMJ. 2005, 104 (5): 61-65.PubMed McCarty CA, Scheuer D: Lessons learned from employee fitness programs at the Marshfield Clinic. WMJ. 2005, 104 (5): 61-65.PubMed
19.
go back to reference Saltin B, Grimby G: Physiological analysis of middle-aged and old former athletes. Comparison with still active athletes of the same ages. Circulation. 1968, 38 (6): 1104-1115.CrossRefPubMed Saltin B, Grimby G: Physiological analysis of middle-aged and old former athletes. Comparison with still active athletes of the same ages. Circulation. 1968, 38 (6): 1104-1115.CrossRefPubMed
20.
go back to reference Saltin B: Physiological effects of physical conditioning. Ischaemic Heart Disease: the Strategy of Postponement. Edited by: Hansen AT, Schnohr P, Rose G. 1977, Chicago: Year Book Medical Publishers, 104-115. Saltin B: Physiological effects of physical conditioning. Ischaemic Heart Disease: the Strategy of Postponement. Edited by: Hansen AT, Schnohr P, Rose G. 1977, Chicago: Year Book Medical Publishers, 104-115.
21.
go back to reference Aires N, Selmer R, Thelle D: The validity of self-reported leisure time physical activity, and its relationship to serum cholesterol, blood pressure and body mass index. A population based study of 332,182 men and women aged 40-42 years. Eur J Epidemiol. 2003, 18 (6): 479-485.CrossRefPubMed Aires N, Selmer R, Thelle D: The validity of self-reported leisure time physical activity, and its relationship to serum cholesterol, blood pressure and body mass index. A population based study of 332,182 men and women aged 40-42 years. Eur J Epidemiol. 2003, 18 (6): 479-485.CrossRefPubMed
22.
go back to reference Wilsgaard T, Jacobsen BK: Lifestyle factors and incident metabolic syndrome. The Tromso Study 1979-2001. Diabetes Res Clin Pract. 2007, 78 (2): 217-224. 10.1016/j.diabres.2007.03.006.CrossRefPubMed Wilsgaard T, Jacobsen BK: Lifestyle factors and incident metabolic syndrome. The Tromso Study 1979-2001. Diabetes Res Clin Pract. 2007, 78 (2): 217-224. 10.1016/j.diabres.2007.03.006.CrossRefPubMed
23.
go back to reference Apullan FJ, Bourassa MG, Tardif JC, Fortier A, Gayda M, Nigam A: Usefulness of self-reported leisure-time physical activity to predict long-term survival in patients with coronary heart disease. Am J Cardiol. 2008, 102 (4): 375-379. 10.1016/j.amjcard.2008.03.072.CrossRefPubMed Apullan FJ, Bourassa MG, Tardif JC, Fortier A, Gayda M, Nigam A: Usefulness of self-reported leisure-time physical activity to predict long-term survival in patients with coronary heart disease. Am J Cardiol. 2008, 102 (4): 375-379. 10.1016/j.amjcard.2008.03.072.CrossRefPubMed
24.
go back to reference Byberg L, Melhus H, Gedeborg R, Sundstrom J, Ahlbom A, Zethelius B, Berglund LG, Wolk A, Michaelsson K: Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of population based cohort. BMJ. 2009, 338: b688-10.1136/bmj.b688.CrossRefPubMedPubMedCentral Byberg L, Melhus H, Gedeborg R, Sundstrom J, Ahlbom A, Zethelius B, Berglund LG, Wolk A, Michaelsson K: Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of population based cohort. BMJ. 2009, 338: b688-10.1136/bmj.b688.CrossRefPubMedPubMedCentral
25.
go back to reference Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983, 67 (6): 361-370. 10.1111/j.1600-0447.1983.tb09716.x.CrossRefPubMed Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983, 67 (6): 361-370. 10.1111/j.1600-0447.1983.tb09716.x.CrossRefPubMed
26.
go back to reference Sullivan M, Karlsson J, Ware JE: The Swedish SF-36 Health Survey--I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Soc Sci Med. 1995, 41 (10): 1349-1358. 10.1016/0277-9536(95)00125-Q.CrossRefPubMed Sullivan M, Karlsson J, Ware JE: The Swedish SF-36 Health Survey--I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Soc Sci Med. 1995, 41 (10): 1349-1358. 10.1016/0277-9536(95)00125-Q.CrossRefPubMed
27.
go back to reference Bostrom G, Nykvist K: Levnadsvanor och hälsa. De första resultaten från den nationella folkhälsoenkäten Hälsa på lika villkor (In Swedish). Stockholm. 2004 Bostrom G, Nykvist K: Levnadsvanor och hälsa. De första resultaten från den nationella folkhälsoenkäten Hälsa på lika villkor (In Swedish). Stockholm. 2004
28.
go back to reference Carlson GD, Warne T: Do healthier nurses make better health promotors? A review of the literature. Nurse Educ Today. 2007, 27 (5): 506-513. 10.1016/j.nedt.2006.08.012.CrossRefPubMed Carlson GD, Warne T: Do healthier nurses make better health promotors? A review of the literature. Nurse Educ Today. 2007, 27 (5): 506-513. 10.1016/j.nedt.2006.08.012.CrossRefPubMed
29.
go back to reference Harenstam A: Different development trends in working life and increasing occupational stress require new work environment strategies. Work. 2005, 24 (3): 261-277.PubMed Harenstam A: Different development trends in working life and increasing occupational stress require new work environment strategies. Work. 2005, 24 (3): 261-277.PubMed
30.
go back to reference Dellve L, Skagert K, Vilhelmsson R: Leadership in workplace health promotion projects: 1- and 2-year effects on long-term work attendance. Eur J Public Health. 2007, 17 (5): 471-476.CrossRefPubMed Dellve L, Skagert K, Vilhelmsson R: Leadership in workplace health promotion projects: 1- and 2-year effects on long-term work attendance. Eur J Public Health. 2007, 17 (5): 471-476.CrossRefPubMed
Metadata
Title
Healthcare workers' participation in a healthy-lifestyle-promotion project in western Sweden
Authors
Ingibjörg H Jonsdottir
Mats Börjesson
Gunnar Ahlborg Jr
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-448

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue