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

Open Access 01-12-2011 | Research article

Who participates in internet-based worksite weight loss programs?

Authors: Wen You, Fabio A Almeida, Jamie M Zoellner, Jennie L Hill, Courtney A Pinard, Kacie C Allen, Russell E Glasgow, Laura A Linnan, Paul A Estabrooks

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

The reach and representativeness are seldom examined in worksite weight loss studies. This paper describes and illustrates a method for directly assessing the reach and representativeness of a internet-based worksite weight loss program.

Methods

A brief health survey (BHS) was administered, between January 2008 and November 2009, to employees at 19 worksites in Southwest Virginia. The BHS included demographic, behavioral, and health questions. All employees were blinded to the existence of a future weight loss program until the completion of the BHS.

Results

The BHS has a participation rate of 66 percent and the subsequent weight loss program has a participation rate of 30 percent. Employees from higher income households, with higher education levels and health literacy proficiency were significantly more likely to participate in the program (p's < .01).

Conclusions

Worksite weight loss programs should include targeted marketing strategies to engage employees with lower income, education, and health literacy.
Literature
1.
go back to reference Anderson LM, Quinn TA, Glanz K, et al: The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med. 2009, 37: 340-357. 10.1016/j.amepre.2009.07.003.CrossRefPubMed Anderson LM, Quinn TA, Glanz K, et al: The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med. 2009, 37: 340-357. 10.1016/j.amepre.2009.07.003.CrossRefPubMed
2.
go back to reference Estabrooks PA, Glasgow RE: Worksite interventions. Cambridge Handbook of Psychology, Health and Medicine. Edited by: Ayers S, Baum A, McManus C, Newman S, Wallston K, Weinman J, West R. 2007, New York: Cambridge University press Estabrooks PA, Glasgow RE: Worksite interventions. Cambridge Handbook of Psychology, Health and Medicine. Edited by: Ayers S, Baum A, McManus C, Newman S, Wallston K, Weinman J, West R. 2007, New York: Cambridge University press
3.
go back to reference Bull SS, Gillette C, Glasgow RE, Estabrooks P: Work site health promotion research: To what extent can we generalize the results and what is needed to translate research to practice?. Health Educ Behav. 2003, 30: 537-549. 10.1177/1090198103254340.CrossRefPubMed Bull SS, Gillette C, Glasgow RE, Estabrooks P: Work site health promotion research: To what extent can we generalize the results and what is needed to translate research to practice?. Health Educ Behav. 2003, 30: 537-549. 10.1177/1090198103254340.CrossRefPubMed
4.
go back to reference Glasgow RE, Vogt TM, Boles SM: Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999, 99: 1322-1327.CrossRef Glasgow RE, Vogt TM, Boles SM: Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999, 99: 1322-1327.CrossRef
5.
go back to reference Linnan LA, Emmons KM, Klar N, Fava JL, LaForge RG, Abrams DB: Challenges to improving the impact of worksite cancer prevention programs: comparing reach, enrollment, and attrition using active versus passive recruitment strategies. Ann Behav Med. 2002, 24: 157-166. 10.1207/S15324796ABM2402_13.CrossRefPubMed Linnan LA, Emmons KM, Klar N, Fava JL, LaForge RG, Abrams DB: Challenges to improving the impact of worksite cancer prevention programs: comparing reach, enrollment, and attrition using active versus passive recruitment strategies. Ann Behav Med. 2002, 24: 157-166. 10.1207/S15324796ABM2402_13.CrossRefPubMed
6.
go back to reference Glasgow RE, Bull SS, Gillette C, Klesges LM, Dzewaltowski DA: Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. Am J Prev Med. 2002, 23: 62-69. 10.1016/S0749-3797(02)00437-3.CrossRefPubMed Glasgow RE, Bull SS, Gillette C, Klesges LM, Dzewaltowski DA: Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. Am J Prev Med. 2002, 23: 62-69. 10.1016/S0749-3797(02)00437-3.CrossRefPubMed
7.
go back to reference Glasgow RE, Nelson CC, Strycker LA, King DK: Using RE-AIM metrics to evaluate diabetes self-management support interventions. Am J Prev Med. 2006, 30: 67-73. 10.1016/j.amepre.2005.08.037.CrossRefPubMed Glasgow RE, Nelson CC, Strycker LA, King DK: Using RE-AIM metrics to evaluate diabetes self-management support interventions. Am J Prev Med. 2006, 30: 67-73. 10.1016/j.amepre.2005.08.037.CrossRefPubMed
8.
go back to reference Glasgow RE, Emmons KM: How can we increase translation of research into practice? Types of evidence needed. Annu Rev Publ Health. 2007, 28: 413-433. 10.1146/annurev.publhealth.28.021406.144145.CrossRef Glasgow RE, Emmons KM: How can we increase translation of research into practice? Types of evidence needed. Annu Rev Publ Health. 2007, 28: 413-433. 10.1146/annurev.publhealth.28.021406.144145.CrossRef
9.
go back to reference Glasgow RE, Linnan L: Evaluation of theory-based interventions. Health Behavior and Health Education: Theory, Practice and Research. Edited by: Glanz K, Rimer B, Vishwanath V. 2008, San Francisco: Jossey-Bass Publishers, 4 Glasgow RE, Linnan L: Evaluation of theory-based interventions. Health Behavior and Health Education: Theory, Practice and Research. Edited by: Glanz K, Rimer B, Vishwanath V. 2008, San Francisco: Jossey-Bass Publishers, 4
10.
go back to reference Franklin PD, Rosenbaum PF, Carey MP, Roizen MF: Using sequential email messages to promote health behaviors: evidence of feasibility and reach in a worksite sample. J Med Internet. 2006, Re. 8, e3 Franklin PD, Rosenbaum PF, Carey MP, Roizen MF: Using sequential email messages to promote health behaviors: evidence of feasibility and reach in a worksite sample. J Med Internet. 2006, Re. 8, e3
11.
go back to reference Glasgow RE, Mccaul KD, Fisher KJ: Participation in worksite health promotion - a critique of the literature and recommendations for future practice. Health Edu Quar. 1993, 20: 391-408. 10.1177/109019819302000309.CrossRef Glasgow RE, Mccaul KD, Fisher KJ: Participation in worksite health promotion - a critique of the literature and recommendations for future practice. Health Edu Quar. 1993, 20: 391-408. 10.1177/109019819302000309.CrossRef
12.
go back to reference Robroek SJW, Lenthe FJV, Empelen PV, Burdorf A: Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phy. 2009, 6: 26-10.1186/1479-5868-6-26.CrossRef Robroek SJW, Lenthe FJV, Empelen PV, Burdorf A: Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phy. 2009, 6: 26-10.1186/1479-5868-6-26.CrossRef
13.
go back to reference Taitel MS, Haufle V, Heck D, Loeppke R, Fetterolf D: Incentives and other factors associated with employee participation in health risk assessments. J Occup Environ Med. 2008, 50: 863-72. 10.1097/JOM.0b013e3181845fe2.CrossRefPubMed Taitel MS, Haufle V, Heck D, Loeppke R, Fetterolf D: Incentives and other factors associated with employee participation in health risk assessments. J Occup Environ Med. 2008, 50: 863-72. 10.1097/JOM.0b013e3181845fe2.CrossRefPubMed
14.
go back to reference Ammerman A, Haines P, DeVellis R, et al: A brief dietary assessment to guide cholesterol reduction in low income individuals: design and validation. JADA. 1991, 91: 1385-1390. Ammerman A, Haines P, DeVellis R, et al: A brief dietary assessment to guide cholesterol reduction in low income individuals: design and validation. JADA. 1991, 91: 1385-1390.
15.
go back to reference Macera CA, Pratt C: Public health surveillance of physical activity. Res Q Exercise and Sport. 2000, 71: 97-103.CrossRef Macera CA, Pratt C: Public health surveillance of physical activity. Res Q Exercise and Sport. 2000, 71: 97-103.CrossRef
16.
go back to reference Scientific Advisory Committee of the Medical Outcomes Trust: Assessing health status and quality-of-life instruments: attributes and review criteria. Quality of Life Research. 2002, 11: 193-205. 10.1023/A:1015291021312.CrossRef Scientific Advisory Committee of the Medical Outcomes Trust: Assessing health status and quality-of-life instruments: attributes and review criteria. Quality of Life Research. 2002, 11: 193-205. 10.1023/A:1015291021312.CrossRef
17.
go back to reference Chew LD, Bradley KA, Boyko EJ: Brief questions to identify patients with inadequate health literacy. Fam Med. 2004, 36: 588-594.PubMed Chew LD, Bradley KA, Boyko EJ: Brief questions to identify patients with inadequate health literacy. Fam Med. 2004, 36: 588-594.PubMed
18.
go back to reference Schwarzer R, Renner B: Social-cognitive predictors of health behavior: action self-efficacy and coping self-efficacy. Health Psychology. 2000, 19: 487-495.CrossRefPubMed Schwarzer R, Renner B: Social-cognitive predictors of health behavior: action self-efficacy and coping self-efficacy. Health Psychology. 2000, 19: 487-495.CrossRefPubMed
19.
go back to reference Plotnikoff RC, Higginbotham N: Protection motivation theory and exercise behaviour change for the prevention of coronary heart disease in a high risk, Australian representative community sample of adults. Psychology, Health and Medicine. 2002, 7: 87-98. 10.1080/13548500120101586.CrossRef Plotnikoff RC, Higginbotham N: Protection motivation theory and exercise behaviour change for the prevention of coronary heart disease in a high risk, Australian representative community sample of adults. Psychology, Health and Medicine. 2002, 7: 87-98. 10.1080/13548500120101586.CrossRef
20.
go back to reference Wilson JJ, Mick R, Wei SJ, et al: Clinical trial resources on the Internet must be designed to reach underrepresented minorities. Cancer J. 2006, 12: 475-481. 10.1097/00130404-200611000-00007.CrossRefPubMed Wilson JJ, Mick R, Wei SJ, et al: Clinical trial resources on the Internet must be designed to reach underrepresented minorities. Cancer J. 2006, 12: 475-481. 10.1097/00130404-200611000-00007.CrossRefPubMed
21.
go back to reference Kumanyika S, Whitt-Glover M, Gary TL, et al: Expanding the obesity research paradigm to reach African American communities. Prev Chronic Dis. 2007, 4: A112-PubMedPubMedCentral Kumanyika S, Whitt-Glover M, Gary TL, et al: Expanding the obesity research paradigm to reach African American communities. Prev Chronic Dis. 2007, 4: A112-PubMedPubMedCentral
22.
go back to reference Zapka J, Lemon SC, Estabrook B, Rosal MC: Factors related to weight loss behavior in a multiracial/ethnic workforce. Ethn Dis. 2009, 19: 154-160.PubMedPubMedCentral Zapka J, Lemon SC, Estabrook B, Rosal MC: Factors related to weight loss behavior in a multiracial/ethnic workforce. Ethn Dis. 2009, 19: 154-160.PubMedPubMedCentral
23.
go back to reference Johnson-Taylor WL, Fisher RA, Hubbard VS, Starke-Reed P, Eggers PS: The change in weight perception of weight status among the overweight: comparison of NHANES III (1988-1994) and 1999-2004 NHANES. Int J Behav Nutr Phys Act. 2008, 5: 9-CrossRefPubMedPubMedCentral Johnson-Taylor WL, Fisher RA, Hubbard VS, Starke-Reed P, Eggers PS: The change in weight perception of weight status among the overweight: comparison of NHANES III (1988-1994) and 1999-2004 NHANES. Int J Behav Nutr Phys Act. 2008, 5: 9-CrossRefPubMedPubMedCentral
24.
go back to reference Thomas A, Moseley G, Stallings R, Nichols-English G, Wagner PJ: Perceptions of obesity: black and white differences. J Cult Divers. 2008, 15: 174-180.PubMed Thomas A, Moseley G, Stallings R, Nichols-English G, Wagner PJ: Perceptions of obesity: black and white differences. J Cult Divers. 2008, 15: 174-180.PubMed
25.
go back to reference Frew PM, Rio C, Lu L, Clifton S, Mulligan MJ: Understanding differences in enrollment outcomes among high-risk populations recruited to a phase IIb HIV vaccine trial. J Acquired Immune Deficiency Syndromes. 2009, 50: 314-319. 10.1097/QAI.0b013e3181945eec.CrossRef Frew PM, Rio C, Lu L, Clifton S, Mulligan MJ: Understanding differences in enrollment outcomes among high-risk populations recruited to a phase IIb HIV vaccine trial. J Acquired Immune Deficiency Syndromes. 2009, 50: 314-319. 10.1097/QAI.0b013e3181945eec.CrossRef
26.
go back to reference Mancuso CA, Rincon M: Impact of health literacy on longitudinal asthma outcomes. J General Internal Med. 2006, 21: 813-817. 10.1111/j.1525-1497.2006.00528.x.CrossRef Mancuso CA, Rincon M: Impact of health literacy on longitudinal asthma outcomes. J General Internal Med. 2006, 21: 813-817. 10.1111/j.1525-1497.2006.00528.x.CrossRef
27.
go back to reference Lee S, Brown ER, Grant D, Belin TR, Brick JM: Exploring nonresponse bias in a health survey using neighborhood characteristics. Am J Public Health. 2009, 99: 1811-1817. 10.2105/AJPH.2008.154161.CrossRefPubMedPubMedCentral Lee S, Brown ER, Grant D, Belin TR, Brick JM: Exploring nonresponse bias in a health survey using neighborhood characteristics. Am J Public Health. 2009, 99: 1811-1817. 10.2105/AJPH.2008.154161.CrossRefPubMedPubMedCentral
Metadata
Title
Who participates in internet-based worksite weight loss programs?
Authors
Wen You
Fabio A Almeida
Jamie M Zoellner
Jennie L Hill
Courtney A Pinard
Kacie C Allen
Russell E Glasgow
Laura A Linnan
Paul A Estabrooks
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-709

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue