Date of Award

August 2014

Degree Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Urban Studies

First Advisor

Doug M. Ihrke

Committee Members

Ron A. Cisler, Ann L. Greer, William Velez, FrederiK O. Andersson

Keywords

BMI, Employee Wellnss, Employer, Health Care Costs, Health Promotion, Weight

Abstract

ABSTRACT

ASSESSING THE IMPACT OF AN INCENTIVIZED EMPLOYEE WELLNESS PROGRAM ON PARTICIPATION AND WEIGHT

by

Jennifer Fink

The University of Wisconsin-Milwaukee, 2014

Under the Supervision of Dr. Doug Ihrke

Introduction: Employers are increasingly adopting workplace wellness programs designed to improve employee health and decrease employer costs associated with health insurance and job absenteeism. This dissertation examines the outcomes of 6,375 obese health care workers who were offered financial incentives for participating in an employee wellness program (EWP) as they relate to participation and potential change in body mass index (BMI). This study aims to contribute to three distinct literatures, including health promotion, health policy and behavioral economics. This study employs the use of two theoretical approaches to explain participation patterns in the EWP and alternative wellness activities: the health belief model and behavioral economics.

Methods: The study is a retrospective program evaluation using a dataset generated from two components of data from the health care organization. This study employed a quasiexperimental, nonequivalent, two-group design (i.e. participants and nonparticipants) examining participation rates in alternative activities offered for weight loss as well as a pretest-posttest evaluation of change in BMI in alternative wellness activities and overall BMI change from 2013 to 2014.

Results: Of the 6,375 health care workers with BMI ≥ 30 (35% of weighed employees), only 3,094 employees (47%) chose to participate in alternative activities intervention offered by the organization. The mean BMI in 2014 was 36.7 for nonparticipants and 35.5 for participants, a reduction in BMI of 1.2 (P<0.0001). The results of this dissertation are positive and showed weight reduction in the obese population occurred through Aurora Health Care's EWP.

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