Assuntos
Promoção da Saúde/organização & administração , Avaliação de Programas e Projetos de Saúde/métodos , Local de Trabalho , Comunicação , Relações Comunidade-Instituição , Comportamento Cooperativo , Nível de Saúde , Humanos , Liderança , Saúde Mental , Saúde Ocupacional , Políticas , Apoio Social , Estados UnidosAssuntos
Promoção da Saúde/organização & administração , Pesquisa Translacional Biomédica/organização & administração , Local de Trabalho , American Heart Association/organização & administração , Centers for Disease Control and Prevention, U.S./organização & administração , Humanos , Saúde Ocupacional , Avaliação de Programas e Projetos de Saúde , Análise de Sistemas , Estados UnidosRESUMO
PURPOSE: This study tested relationships between health and well-being best practices and 3 types of outcomes. DESIGN: A cross-sectional design used data from the HERO Scorecard Benchmark Database. SETTING: Data were voluntarily provided by employers who submitted web-based survey responses. SAMPLE: Analyses were limited to 812 organizations that completed the HERO Scorecard between January 12, 2015 and October 2, 2017. MEASURES: Independent variables included organizational and leadership support, program comprehensiveness, program integration, and incentives. Dependent variables included participation rates, health and medical cost impact, and perceptions of organizational support. ANALYSIS: Three structural equation models were developed to investigate the relationships among study variables. RESULTS: Model sample size varied based on organizationally reported outcomes. All models fit the data well (comparative fit index > 0.96). Organizational and leadership support was the strongest predictor (P < .05) of participation (n = 276 organizations), impact (n = 160 organizations), and perceived organizational support (n = 143 organizations). Incentives predicted participation in health assessment and biometric screening (P < .05). Program comprehensiveness and program integration were not significant predictors (P > .05) in any of the models. CONCLUSION: Organizational and leadership support practices are essential to produce participation, health and medical cost impact, and perceptions of organizational support. While incentives influence participation, they are likely insufficient to yield downstream outcomes. The overall study design limits the ability to make causal inferences from the data.
Assuntos
Promoção da Saúde/organização & administração , Local de Trabalho , Fatores Etários , Estudos Transversais , Humanos , Liderança , Motivação , Saúde Ocupacional , Participação do Paciente , Características de Residência , Fatores SexuaisRESUMO
OBJECTIVE: To explore the factor structure of the HERO Health and Well-being Best Practices Scorecard in Collaboration with Mercer (HERO Scorecard) to develop a reduced version and examine the reliability and validity of that version. METHODS: A reduced version of the HERO Scorecard was developed through formal statistical analyses on data collected from 845 organizations that completed the original HERO Scorecard. RESULTS: The final factors in the reduced Scorecard represented content pertaining to organizational and leadership support, program comprehensiveness, program integration, and incentives. All four implemented practices were found to have a strong, statistically significant effect on perceived effectiveness. Organizational and leadership support had the strongest effect (ßâ=â0.56), followed by incentives (ßâ=â0.23). CONCLUSION: The condensed version of the HERO Scorecard has the potential to be a promising tool for future research on the extent to which employers are adopting best practices in their health and well-being (HWB) initiatives.
Assuntos
Promoção da Saúde , Saúde Ocupacional , Local de Trabalho , Adulto , Centers for Disease Control and Prevention, U.S. , Humanos , Liderança , Cultura Organizacional , Reprodutibilidade dos Testes , Inquéritos e Questionários , Estados UnidosRESUMO
The purpose of this article is to synthesize developments from various disciplines including the medical, wellness, psychology, and sociology fields to shed light on where health promotion is headed in the next 25 years. Lifestyle medicine practitioners will continue to play a large role in helping people achieve the highest levels of wellness, which does not simply mean the absence of disease. New research identifies the important roles of many diverse factors such as relationships, lifestyle behaviors, emotional outlook, positive environment, mind-body connection, use of technology, and work styles, which can help each person achieve the fullness of life, vitality, and flourishing that characterizes a high level of well-being.