ArticleJournal of medical Internet research2013
Determinants of participation in a web-based health risk assessment and consequences for health promotion programs.
Article in Journal of medical Internet research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 24 citations in OpenAlex.
- Structural Compensation and Participatory Approaches: A Way to Improve Access to Health Care for Undocumented Immigrants? A Scoping Review.Journal of immigrant and minority health · 2026Article
- What do we know about alcohol internet interventions aimed at employees?-A scoping review.Frontiers in public health · 2023Article
- A German Model Project for Workplace Health Promotion-Flow of Communication, Information, and Reasons for Non-Participation in the Offered Measures.International journal of environmental research and public health · 2022Article
- Migrant Workers' Willingness to Participate in Workplace Health Promotion Programs: The Role of Interpersonal and Political Trust in China.Frontiers in public health · 2020Article
- Non-participation in initial and repeated health risk appraisals - a drop-out analysis based on a health project.BMC health services research · 2019Article
- A six question screen to facilitate primary cardiovascular disease prevention.BMC cardiovascular disorders · 2015Article
- The Prognostic Value of the Work Ability Index for Sickness Absence among Office Workers.PloS one · 2015Article
- How needs and preferences of employees influence participation in health promotion programs: a six-month follow-up study.BMC public health · 2014Article
- Motives for participating in a web-based nutrition cohort according to sociodemographic, lifestyle, and health characteristics: the NutriNet-Santé cohort study.Journal of medical Internet research · 2014Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe health risk assessment (HRA) is a type of health promotion program frequently offered at the workplace. Insight into the underlying determinants of participation is needed to evaluate and implement these interventions.
objectiveTo analyze whether individual characteristics including demographics, health behavior, self-rated health, and work-related factors are associated with participation and nonparticipation in a Web-based HRA.
methodsDeterminants of participation and nonparticipation were investigated in a cross-sectional study among individuals employed at five Dutch organizations. Multivariate logistic regression was performed to identify determinants of participation and nonparticipation in the HRA after controlling for organization and all other variables.
resultsOf the 8431 employees who were invited, 31.9% (2686/8431) enrolled in the HRA. The online questionnaire was completed by 27.2% (1564/5745) of the nonparticipants. Determinants of participation were some periods of stress at home or work in the preceding year (OR 1.62, 95% CI 1.08-2.42), a decreasing number of weekdays on which at least 30 minutes were spent on moderate to vigorous physical activity (OR(dayPA)0.84, 95% CI 0.79-0.90), and increasing alcohol consumption. Determinants of nonparticipation were less-than-positive self-rated health (poor/very poor vs very good, OR 0.25, 95% CI 0.08-0.81) and tobacco use (at least weekly vs none, OR 0.65, 95% CI 0.46-0.90).
conclusionsThis study showed that with regard to isolated health behaviors (insufficient physical activity, excess alcohol consumption, and stress), those who could benefit most from the HRA were more likely to participate. However, tobacco users and those who rated their overall health as less than positive were less likely to participate. A strong communication strategy, with recruitment messages that take reasons for nonparticipation into account, could prove to be an essential tool for organizations trying to reach employees who are less likely to participate.
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