Trial reportAmerican journal of health promotion : AJHP2016
The Influence of Health Literacy on Reach, Retention, and Success in a Worksite Weight Loss Program.
Trial report in American journal of health promotion : AJHP, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Salutogenic Principles in Workplace Health Promotion Interventions: A Scoping Review.Journal of prevention (2022) · 2026Article
- Association of Obesity With Health Literacy and Weight Perception Among Women Merchants in Abidjan, Côte d'Ivoire: A Cross-Sectional Study.Health literacy research and practice · 2024Article
- Impacts of educational interventions of librarian instruction on health information seeking attitudes and behaviors in an employee wellness program.Journal of the Medical Library Association : JMLA · 2024Article
- The Link Between Health Literacy and Three Conditions of Metabolic Syndrome: Obesity, Diabetes and Hypertension.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022Article
- Health Literacy Considerations for a New Cancer Prevention Initiative.The Gerontologist · 2019Article
- Geographic and Social Factors Associated With Chronic Disease Self-Management Program Participation: Going the "Extra-Mile" for Disease Prevention.Preventing chronic disease · 2019Article
- Examination of Nutrition Literacy and Quality of Self-monitoring in Behavioral Weight Loss.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018Article
- High health literacy is associated with less obesity and lower Framingham risk score: Sub-study of the VGH-HEALTHCARE trial.PloS one · 2018Article
- Effect of genomics-related literacy on non-communicable diseases.Journal of human genetics · 2017Article
- A Quasi-Experiment to Assess the Impact of a Scalable, Community-Based Weight Loss Program: Combining Reach, Effectiveness, and Cost.Journal of general internal medicine · 2017Article
- Using Teach-Back to Understand Participant Behavioral Self-Monitoring Skills Across Health Literacy Level and Behavioral Condition.Journal of nutrition education and behavior · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeTo examine if employee health literacy (HL) status moderated reach, retention, and weight outcomes in a worksite weight loss program.
designThe study was a two-group cluster randomized controlled weight loss trial.
settingThe study was conducted in 28 worksites. SUBJECTS: Subjects comprised 1460 employees with a body mass index >25 kg/m(2).
interventionsTwo 12-month weight loss interventions targeted diet and physical activity behaviors: incentaHEALTH (INCENT; incentivized individually targeted Internet-based intervention) and Livin' My Weigh (LMW; less-intense quarterly newsletters). MEASURES: A validated three-item HL screening measure was self-completed at baseline. Weight was objectively assessed with the Health Spot scale at baseline and 12-month follow-up. ANALYSIS: The impact of HL on program effectiveness was assessed through fixed-effect parametric models that controlled for individual (i.e., age, gender, race, ethnicity, income, education) and worksite random effects.
resultsEnrolled employees had significantly higher HL status [13.54 (1.68)] as compared to unenrolled [13.04 (2.17)] (p < .001). This finding was consistent in both interventions. Also, HL moderated weight loss effects (beta = .66; SE = 027; p = .014) and losing >5% weight (beta = -1.53; SE = .77; p < .047). For those with lower baseline HL, the INCENT intervention produced greater weight loss outcomes compared to LMW. The HL level of employees retained was not significantly different from those lost to follow-up.
conclusionHL influences reach and moderates weight effects. These findings underscore the need to integrate recruitment strategies and further evaluate programmatic approaches that attend to the needs of low-HL audiences.
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