1000531 - O dyssey I P 1 R apid 4649176...

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Odyssey Rapid #: -4649176 IP: CALL RC963.A42 LOCATION: AFU:: Main Library PER TYPE: Article CC:CCL JOURNAL TITLE: Journal of occupational medicine USER JOURNAL TITLE: AFU CATALOG TITLE: Journal of occupational medicine: official publication of the Industrial Medical Association ARTICLE TITLE: Effectiveness of employee health improvement programs, ARTICLE AUTHOR: Fielding, J, E, VOLUME: 24 ISSUE: 11 MONTH: YEAR: PAGES: ISSN: OCLC 1982 907-916 0096-1736 CROSS REFERENCE lD: [TN: 1000531] [ODYSSEY: 128,210,126, 171/ILL] VERIFIED: BORROWER: IPL PATRON: PATRON lD: PATRON ADDRESS: PATRON PHONE: PATRON FAX: PATRON E-MAIL: PATRON DEPT: PATRON STATUS: PATRON NOTES: '/;::;ll!lRAPID,. , This material may be protected by copyright law (Title 17 U's, Code) . . "" ,M. . System Date/Time: 8/16/2011 9:53:54 AM MST
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Effectiveness of Employee Health I mprovement Programs Jonathan E. Fielding, M.D., M.P.H. Evidence of heallh effects, cost-effectiveness and cost- benefit of smoking cessation, hypertension control, phy· sical fitness and weight management programs are reviewed. For hypertension control programs, health·effectiveness has beell established both in community and worksite settings. Smoking cessation programs in clinical settings achieve six to 12·molllh abstinence of usually 15% to 30%, but occa· sionally 40% to 60%. Smoking cessation groups are proba· bly cost-beneficial and, assuming average program costs and sustained quit rates, should be able to successfully compete for employer investment dollars with respect to return on inl'estment. One study has reported a cost savings attributable to a corporate fitne55 program but problems of study design and assumption involved in !lerwrating cost estimates render the collc/usions somewhat speculative. Credible data regardillg cast·effectiveness alld cast·beneflt weight management programs in clinical or worksite settings are not yet available. Growth of a variety of employee programs that can be subsumed under the heading of worksite health promotion has been documented in many surveys. A great variety of program configurations, modes of operation, staffing and participation rates have been described. Frequently left unanswered is the central question, "Are these programs effective?" Three characteristics of many written reports on these programs interfere with attempts to provide answers: 1. Goals and objectives are not ex pncit. 2. Information is not available on which to assess whether goals and objec tives have been met. 3. An inadequate evaluation schema makes it difficult to assess whether changes observed can be reasonably attributed to the health promotion program. Nonetheless, some general statements about reasonable expectations for worksite hea!th improvement programs from [he Schools of Public Heallh and Medicine (Professor). Center for Health Enh",ncement Educa tio n and Research (Co· d irector). University California, L05 Angeles, CA 90024.
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1000531 - O dyssey I P 1 R apid 4649176...

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