Abstract
This study evaluated effects of a worksite stress management/health promotion program with primarily minority blue-collar employees showing a number of high-risk health behaviors. In a biopsychosocial approach, participants were assessed with a standardized health risk appraisal that included physical and behavioral variables, plus measures of self-control, health attitudes/satisfaction, and other factors. A controlled group design was employed with pretreatment, treatment, posttreatment, and three-month follow-up. Participants were randomly assigned to a wait-listed control group (n = 26) and a health promotion intervention group (n = 24). The latter received a multimodal intervention including stress management training, educational workshops and counseling, and a self-directed behavior change program. Following posttreatment assessment, the control subjects were given treatment and their data were then added to that of the initial treatment group to comprise a total group of “treatment finishers” (n = 33). The results revealed a number of significant differences between the two groups at posttreatment and/or for the treatment finishers across time (pretreatment vs. posttreatment and/or follow-up), including certain of the physical and behavioral measures, self-efficacy, and some health attitudes, but no effects for job-related measures, such as absenteeism and job satisfaction.
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REFERENCES
Becker, M. H., & Janz, N. K. (1987). On the effectiveness and utility of health hazard/health risk appraisal in clinical and nonclinical settings. Health Science Research, 22, 537-551.
Becker, H., Stuifbergen, A., Oh, H. S., & Hall, S. (1993). Self-rated abilities for health practices: A health self-efficacy measure. Health Values, 17, 43-51.
Bertera, R. (1993). Behavioral risk factor and illness day changes with workplace health promotion: Two-year results. American Journal of Health Promotion, 7, 365-373.
Carlson, J. G., Harrigan, R. C., & Seeley, Z. (1997). The Wellness Behavior Interaction Model. International Journal of Stress Management, 4, 145-169.
Clifford, P. A., Tan, S., & Gorsuch, R. L. (1991). Efficacy of a self-directed behavioral change program: Weight, body composition, cardiovascular fitness, blood pressure, health risk, and psychosocial mediating variables. Journal of Behavioral Medicine, 14, 303-323.
Conrad, K. M., Conrad, K. J., & Walcott-McQuigg, J. (1991). Threats to internal validity in worksite health promotion research: Common problems and possible solutions. American Journal of Health Promotion, 6, 112-119.
Elder, J. P, Artz, L. M., Beaudin, P., Carleton, R. A., Lasater, T. M., Peterson, M. S., Rodrigues, A., Guadagnoli, E., & Vellicer, W. F. (1985). Multivariate evaluation of health attitudes and behaviors: Development and validation of a method for health promotion research. Preventive Medicine, 14, 34-54.
Gebhardt, D. T., & Crump, C. E. (1990). Employee fitness and wellness programs in the workplace. American Psychologist, 45, 134-143.
Glasgow, R. E., & Terborg, J. R. (1988). Occupational health promotion programs to reduce cardiovascular risk. Journal of Consulting and Clinical Psychology, 56, 365-373.
Goetzel, R. Z. (1994). Program evaluation. In M. P. O'Donnell & J. S. Harris (Eds.), Health Promotion in the Workplace (pp. 118-159). New York: Del Mar Publishers, Inc.
Grant, B. C., & Brisbin, R. E. (1992). Workplace Wellness: The Key to Higher Productivity and Lower Health Costs. New York: Van Nostrand Reinhold.
Janis, I. L. (1983). Short-Term Counseling: Guidelines Based on Recent Research. New Haven, CT: Yale University Press.
Johnston, W. B., & Packer, A. H. (1987). Workforce 2000: Work and Workers for the 21st Century. Indianapolis: Hudson Institute.
Jones, E. E., & Matsumoto, D. R. (1982). Psychotherapy with the underserved: Recent developments. In L. R. Snowden (Ed.), Reaching the Underserved (pp. 207-228). California: Sage Publications, Inc.
Keita, G. P., & Jones, J. M. (1990). Reducing adverse reaction to stress in the workplace. American Psychologist, 45, 1137-1141.
Kellerman, S. T., Fells, A. M., & Chenier, T. C. (1992). The impact of factory workers of health risk appraisal and counseling in health promotion. American Journal of Preventive Medicine, 8, 37-42.
O'Donnell, M. P. (1994). Designing workplace health promotion programs. In M. P. O'Donnell & J. S. Harris (Eds.), Health Promotion in the Workplace (pp. 69-88). New York: Del Mar Publishers, Inc.
Pelletier, K. R. (1991). A review and analysis of the health and cost-effective outcome studies of comprehensive health promotion and disease prevention programs. American Journal of Public Health, 5, 311-315.
Pelletier, K. R. (1993). A review and analysis of the health and cost-effective outcome studies of comprehensive health promotion and disease prevention programs at the worksite: 1991–1993 update. American Journal of Public Health, 8, 50-62.
Pender, N. J. (1989). Health promotion in the workplace: Suggested directions for research. American Journal of Health Promotion, 3, 38-40.
Peters, K. M. (1997). Worksite health promotion with campus maintenance workers. Doctoral dissertation, University of Hawaii. University Microfilms International.
Sherer, M., Maddux, J. E., & Mercandante, B. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51, 663-671.
Shi, L. (1993). Worksite health promotion and changes in medical care use and sick days. Health Values, 17, 9-17.
Snowden, L. R., Collinge, W. B., & Runkle, M. C. (1982). In L. R. Snowden, (Ed.), Reaching the Underserved (pp. 281-298). California: Sage Publications, Inc.
Spielberger, C. D. (1995). State-Trait Personality Inventory. Palo Alto, CA: Mind Garden.
Wallston, K. A. (1994). Theoretically based strategies for health behavior change. In M. P. O'Donnell & J. S. Harris (Eds.), Health Promotion in the Workplace (pp. 185-203). New York: Del Mar Publishers, Inc.
Wallston, K. A., Wallston, B. S., & DeVellis, R. (1978). Development of the multidimensional health locus of control (MHLC) scales. Health Education Monographs, 6, 160-170.
Walsh, J., & Francis, S. (1992). U.S. Industrial Outlook. Washington DC: U. S. Department of Commerce, International Trade Administration.
Watson, D., & Tharp, R. (1997). Self-Directed Behavior. Pacific Grove, CA: Brooks/Cole Publishing Company.
Wheat, J. R., Graney, M. J., Schachtman, R. H., Ginn, G. L., Patrick, D. L., & Hulka, B. S. (1992). Does workplace health promotion decrease medical claims? American Journal of Preventive Medicine, 8, 110-114.
Yen, L. T., Edington, D. W., & Witting, P. (1991). Associations between health risk appraisal scores and employee medical claims costs in a manufacturing company. American Journal of Health Promotion, 6, 46-54.
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Peters, K.K., Carlson, J.G. Worksite Stress Management with High-Risk Maintenance Workers: A Controlled Study. International Journal of Stress Management 6, 21–44 (1999). https://doi.org/10.1023/A:1021958219737
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DOI: https://doi.org/10.1023/A:1021958219737