Barriers and facilitators for participation in health promotion programs among employees: a six-month follow-up study

BMC Public Health

Alex Burdorf²  Bibiëlle Altink³  Dennis Lindeboom⁴  Wouter van Ginkel¹  Suzan JW Robroek²  Anne Rongen² 

[1] Werkgeversforum Kroon op het Werk, 2132 JJ Hoofddorp, The Netherlands;Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands;Lifeguard BV, 3508 AE Utrecht, The Netherlands;WerkVanNu, 2726 VA Zoetermeer, The Netherlands

关键词: Health behavior;    Facilitators;    Barriers;    Participation;    Workplace health promotion;   

Others  :  1129659
DOI  :  10.1186/1471-2458-14-573

 received in 2014-01-07, accepted in 2014-05-23,  发布年份 2014

【 摘 要 】

Background

Health promotion programs (HPPs) are thought to improve health behavior and health, and their effectiveness is increasingly being studied. However, participation in HPPs is usually modest and effect sizes are often small. This study aims to (1) gain insight into the degree of participation of employees in HPPs, and (2) identify factors among employees that are associated with both their intention to participate and actual participation in HPPs.

Methods

Employees of two organizations were invited to participate in a six-month follow-up study (n = 744). Using questionnaires, information on participation in HPPs was collected in two categories: employees’ intention at baseline to participate and their actual participation in a HPP during the follow-up period. The following potential determinants were assessed at baseline: social-cognitive factors, perceived barriers and facilitators, beliefs about health at work, health behaviors, and self-perceived health. Logistic regression analyses, adjusted for demographics and organization, were used to examine associations between potential determinants and intention to participate, and to examine the effect of these determinants on actual participation during follow-up.

Results

At baseline, 195 employees (26%) expressed a positive intention towards participation in a HPP. During six months of follow-up, 83 employees (11%) actually participated. Participants positively inclined at baseline to participate in a HPP were more likely to actually participate (OR = 3.02, 95% CI: 1.88-4.83). Privacy-related barriers, facilitators, beliefs about health at work, social-cognitive factors, and poor self-perceived health status were significantly associated with intention to participate. The odds of employees actually participating in a HPP were higher among participants who at baseline perceived participation to be expected by their colleagues and supervisor (OR = 2.87, 95% CI: 1.17-7.02) and among those who said they found participation important (OR = 2.81, 95% CI: 1.76-4.49).

Conclusions

Participation in HPPs among employees is limited. Intention to participate predicted actual participation in a HPP after six months of follow-up. However, only 21% of employees with a positive intention actually participated during follow-up. Barriers, facilitators, beliefs about health at work, social-cognitive factors, and a poor self-perceived health status were associated with intention to participate, but hardly influenced actual participation during follow-up.

【 授权许可】

   
2014 Rongen et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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