IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0083594.html
   My bibliography  Save this article

A Systematic Review of Internet-Based Worksite Wellness Approaches for Cardiovascular Disease Risk Management: Outcomes, Challenges & Opportunities

Author

Listed:
  • Ehimen C Aneni
  • Lara L Roberson
  • Wasim Maziak
  • Arthur S Agatston
  • Theodore Feldman
  • Maribeth Rouseff
  • Thinh H Tran
  • Roger S Blumenthal
  • Michael J Blaha
  • Ron Blankstein
  • Mouaz H Al-Mallah
  • Matthew J Budoff
  • Khurram Nasir

Abstract

Context: The internet is gaining popularity as a means of delivering employee-based cardiovascular (CV) wellness interventions though little is known about the cardiovascular health outcomes of these programs. In this review, we examined the effectiveness of internet-based employee cardiovascular wellness and prevention programs. Evidence Acquisition: We conducted a systematic review by searching PubMed, Web of Science and Cochrane library for all published studies on internet-based programs aimed at improving CV health among employees up to November 2012. We grouped the outcomes according to the American Heart Association (AHA) indicators of cardiovascular wellbeing – weight, BP, lipids, smoking, physical activity, diet, and blood glucose. Evidence Synthesis: A total of 18 randomized trials and 11 follow-up studies met our inclusion/exclusion criteria. Follow-up duration ranged from 6 – 24 months. There were significant differences in intervention types and number of components in each intervention. Modest improvements were observed in more than half of the studies with weight related outcomes while no improvement was seen in virtually all the studies with physical activity outcome. In general, internet-based programs were more successful if the interventions also included some physical contact and environmental modification, and if they were targeted at specific disease entities such as hypertension. Only a few of the studies were conducted in persons at-risk for CVD, none in blue-collar workers or low-income earners. Conclusion: Internet based programs hold promise for improving the cardiovascular wellness among employees however much work is required to fully understand its utility and long term impact especially in special/at-risk populations.

Suggested Citation

  • Ehimen C Aneni & Lara L Roberson & Wasim Maziak & Arthur S Agatston & Theodore Feldman & Maribeth Rouseff & Thinh H Tran & Roger S Blumenthal & Michael J Blaha & Ron Blankstein & Mouaz H Al-Mallah & M, 2014. "A Systematic Review of Internet-Based Worksite Wellness Approaches for Cardiovascular Disease Risk Management: Outcomes, Challenges & Opportunities," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-11, January.
    • Handle: RePEc:plo:pone00:0083594
    DOI: 10.1371/journal.pone.0083594
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0083594
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0083594&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0083594?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Baicker, Katherine & Cutler, David M. & Song, Zirui, 2010. "Workplace Wellness Programs Can Generate Savings," Scholarly Articles 5345879, Harvard University Department of Economics.
    2. Hughes, S.L. & Seymour, R.B. & Campbell, R.T. & Shaw, J.W. & Fabiyi, C. & Sokas, R., 2011. "Comparison of two health-promotion programs for older workers," American Journal of Public Health, American Public Health Association, vol. 101(5), pages 883-890.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Syon P. Bhanot & Christina A. Roberto & Anjali Chainani & Charles Williamson & Mehra den Braven, 2019. "Testing effects of loss framing and checklists: evidence from a field experiment on wellness program participation in Philadelphia," Journal of the Economic Science Association, Springer;Economic Science Association, vol. 5(2), pages 210-222, December.
    2. Homonoff, Tatiana & Willage, Barton & Willén, Alexander, 2020. "Rebates as incentives: The effects of a gym membership reimbursement program," Journal of Health Economics, Elsevier, vol. 70(C).
    3. Isidro Peña & Silvia María Andrade & Rosa María Muñoz & Virginia Barba-Sánchez, 2024. "Wellness Programs, Perceived Organizational Support, and Their Influence on Organizational Performance: An Analysis Within the Framework of Sustainable Human Resource Management," SAGE Open, , vol. 14(1), pages 21582440241, February.
    4. Nikayin, Fatemeh & Heikkilä, Marikka & de Reuver, Mark & Solaimani, Sam, 2014. "Workplace primary prevention programmes enabled by information and communication technology," Technological Forecasting and Social Change, Elsevier, vol. 89(C), pages 326-332.
    5. Liran Einav & Stephanie Lee & Jonathan Levin, 2019. "The impact of financial incentives on health and health care: Evidence from a large wellness program," Health Economics, John Wiley & Sons, Ltd., vol. 28(2), pages 261-279, February.
    6. Isaac Koomson & Raymond Elikplim Kofinti & Esther Laryea, 2024. "Financial inclusion and multidimensional child poverty," Review of Economics of the Household, Springer, vol. 22(1), pages 237-260, March.
    7. Nathaniel Hilger, 2017. "All Together Now: Leveraging Firms to Increase Worker Productivity Growth," NBER Working Papers 23905, National Bureau of Economic Research, Inc.
    8. Wadhwa, Monica & Zhang, Kuangjie, 2019. "When numbers make you feel: Impact of round versus precise numbers on preventive health behaviors," Organizational Behavior and Human Decision Processes, Elsevier, vol. 150(C), pages 101-111.
    9. Godbersen, Hendrik & Ruiz-Fernández, Susana & Machura, Marco & Parlak, Denise Elif & Wirtz, Christian & Gansser, Oliver A., 2022. "Work-life balance measures, work-life balance, and organisational commitment - A structural analysis," ipo Schriftenreihe, FOM Hochschule für Oekonomie & Management, ipo Institut für Personal- & Organisationsforschung, volume 3, number 3 edited by FOM Hochschule für Oekonomie & Management, Institut für Personal- & Organisationsforschung (IPO), June.
    10. Kyung Jin Hong & Youngjin Lee, 2020. "The Moderating Effect of Nursing Practice Environment on the Relationship between Clinical Nurses’ Sleep Quality and Wellness," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
    11. J Y Eng & F M Moy & A Bulgiba, 2016. "Impact of a Workplace Health Promotion Program on Employees’ Blood Pressure in a Public University," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-14, February.
    12. Damon Jones & David Molitor & Julian Reif, 2019. "What do Workplace Wellness Programs do? Evidence from the Illinois Workplace Wellness Study," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(4), pages 1747-1791.
    13. Joanne Castonguay & Benoit Dostie & Christian Moroy, 2011. "Initiatives de Promotion de la santé au travail : Un examen des enjeux et du contexte au Québec et au Canada," CIRANO Project Reports 2011rp-15, CIRANO.
    14. Iizuka, Toshiaki & Nishiyama, Katsuhiko & Chen, Brian & Eggleston, Karen, 2021. "False alarm? Estimating the marginal value of health signals," Journal of Public Economics, Elsevier, vol. 195(C).
    15. Ramón Gómez-Chacón & Nicolás Fernández-Martínez & Pablo Gálvez-Ruiz, 2021. "Healthy Students: Adaptation and Validation of the Instrument from the Workplace to the Educational Field," Sustainability, MDPI, vol. 13(3), pages 1-12, January.
    16. Rune Bjerke, 2020. "Towards a HR Framework for Developing a Health-Promoting Performance Culture at Work: A Norwegian Health Care Management Case Study," IJERPH, MDPI, vol. 17(24), pages 1-20, December.
    17. Petrina Coventry, 2022. "Occupational Health and Safety Receptivity towards Clinical Innovations That Can Benefit Workplace Mental Health Programs: Anxiety and Hypnotherapy Trends," IJERPH, MDPI, vol. 19(13), pages 1-13, June.
    18. Christophe Moussu & Steve Ohana, 2016. "Do Leveraged Firms Underinvest in Corporate Social Responsibility? Evidence from Health and Safety Programs in U.S. Firms," Journal of Business Ethics, Springer, vol. 135(4), pages 715-729, June.
    19. Thomas Schiller, 2019. "Is the Mandatory Implementation of Workplace Health Management Systems Harmful to the Competitiveness of European Employers or an Obstacle to Economic Growth?," Central European Business Review, Prague University of Economics and Business, vol. 2019(1), pages 50-63.
    20. Jingxia Kong & Ying Chen & Yingjing Zheng & Lin Zhu & Boyan Chen & Xiao Cheng & Mengna Song & Donald L. Patrick & Shirley A. A. Beresford & Hongmei Wang, 2022. "Effectiveness of a Worksite-Based Lifestyle Intervention on Employees’ Obesity Control and Prevention in China: A Group Randomized Experimental Study," IJERPH, MDPI, vol. 19(11), pages 1-16, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0083594. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.