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Cited by 41Workplace Health and Well-beingBehavioral Health and InterventionsPhysical Activity and Health

Factors Associated With Participation in Work-Site Wellness Programs: Implications for Increasing Willingness Among Rural Service Employees

Middlestadt, Susan E., Sheats, Jylana L., Geshnizjani, Alireza, Sullivan, Margaret R., Arvin, Christopher S.·2011·Health Education & Behavior
DOI 10.1177/1090198110384469
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Abstract

The purpose of this study was to identify factors underlying decisions to participate in work-site wellness programs. A sample of 279 full-time workers from a service division of a rural Midwestern university completed a survey assessing demographic and job characteristics, health status and health behaviors, and Reasoned Action Approach (RAA) variables for participating in work-site wellness activities. Regression analyses identified factors associated with intention; multivariate analyses of variance compared low to high intenders on salient beliefs. In sequential regression analyses, constructs of RAA predicted intention over and above the three significant background variables of age, exercise in past month, and fruit and vegetable consumption (R (2) = .469, R (2) change = .409, p < .001). Attitude had the highest relative weight (β = .445, p < .001); perceived norm had a significant weight (β = .273, p < .001). Significant differences in beliefs were found. To increase participation, planners should design programs that provide benefits employees perceive as advantageous and ensure coworker and supervisor support.

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  • Those with previous positive health behaviours are more likely to participate compared with non-active users.

    “One aspect is that those with previous positive health behaviours are more likely to participate compared with non-active users [65, 66], thereby limiting effectiveness and contradicting WHP’s main preventive aim.”

    From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [66]

  • This limits effectiveness and contradicts WHP's main preventive aim.

    “One aspect is that those with previous positive health behaviours are more likely to participate compared with non-active users [65, 66], thereby limiting effectiveness and contradicting WHP’s main preventive aim.”

    From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [66]

  • Social support from colleagues and supervisors and group pressure were mentioned as advantages of nontechnical interventions, and also were valued in the apps.

    “Social support from colleagues [66, 69, 74, 77, 78] and supervisors and group pressure [72] also were mentioned as advantages of nontechnical interventions, and also were valued in the apps [24].”

    From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [66]

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Authors
Middlestadt, S. E., Sheats, J. L., Geshnizjani, A., Sullivan, M. R., & Arvin, C. S.
Affiliations
  • Indiana University Bloomington (US)
  • Indiana University, Bloomington, IN, USA
ORCID
Middlestadt, Susan E.
Venue
Health Education & Behavior
Publisher
SAGE Publications
Published
2011-04-11
Volume
38
Issue
5
Pages
502-509
ISSN
  • 1090-1981 (ISSN-L)
  • 1552-6127
DOI
10.1177/1090198110384469
OpenAlex
W2001825151
Cited by
41
References
25
Citations by year
2026: 1 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 2 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 10 · 2014: 2 · 2013: 4 · 2012: 2
FWCI
4.75
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Health Education & Behavior (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
workplace health, program participation, intention to participate, theory of reasoned action, attitudes, perceived social norms, health behavior, employee health, coworker support, supervisor support, university employees
MeSH terms
Workforce, Adult, Attitude to Health, Female, Health Promotion, Humans, Male, Middle Aged, Occupational Health Services, Surveys and Questionnaires, Regression Analysis, Rural Population, Universities, Health Behavior, Exercise, Body Mass Index, Workplace, Self Efficacy, Intention

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