Abstract:
:This study evaluated health benefits of long-term participation in an employer-based wellness program, focusing on selected chronic disease risk factors. A repeated measures longitudinal time-series study was conducted of 8 years of existing prospectively collected annual data, including clinical measures of weight, blood pressure, cholesterol, and body fat percent. Participants were divided into their risk levels at baseline. Outcomes were compared to level of participation, for which annual points earned was a surrogate. Participants had lower increases in body mass index (BMI) than the general population had during the same time period. Greatest improvements in BMI, blood pressure, and cholesterol were seen in those at highest risk levels at baseline and in those whose physical activity increased over time. It was found that long-term participation in this program improved BMI, blood pressure, and cholesterol. Most benefits were found for those in high-risk groups. This program should recruit more employees in high health risk categories and emphasize retention and increased levels of participation.
journal_name
Eval Health Profjournal_title
Evaluation & the health professionsauthors
Neville BH,Merrill RM,Kumpfer KLdoi
10.1177/0163278710379222subject
Has Abstractpub_date
2011-03-01 00:00:00pages
103-23issue
1eissn
0163-2787issn
1552-3918pii
0163278710379222journal_volume
34pub_type
杂志文章abstract::Given concerns about survey nonresponse bias as well as the need to plan resources for participant recruitment, this study tracked each step of the recruitment process (location, response, consent, and completion) of sociodemographically diverse older women for a survey concerning mammography experience. Younger, less...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879401700408
更新日期:1994-12-01 00:00:00
abstract::This project was designed to improve the in-hospital management of Medicare beneficiaries with congestive heart failure (CHF). Eleven hospitals were studied using two indicators: (a) assessment of left ventricular (LV) function, and (b) use of angiotensin converting enzyme (ACE) inhibitors in patients with systolic dy...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879802100406
更新日期:1998-12-01 00:00:00
abstract::Valid and reliable measurement tools are necessary for pain assessment among the elderly with dementia. This study aimed to translate the Mahoney Pain Scale (MPS) into Persian and evaluate its psychometric properties among Iranian elderly with dementia. In this methodological study, after translating and assessing the...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278720961818
更新日期:2020-09-29 00:00:00
abstract::People with disabilities comprise roughly 25% of the U.S. adult population yet remain underrepresented in mainstream public health and evaluation research. The lack of measures of common constructs that are validated in but not specific to this population may impede their inclusion. This article describes the use of U...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278719900530
更新日期:2020-01-20 00:00:00
abstract::Chronic Fatigue Syndrome (CFS) is characterized by debilitating symptoms including persistent or relapsing fatigue. As a result of CFS, some individuals experience significant stigma that is attached to this illness. Many medical professionals are skeptical of the validity of the illness, and employers often fail to a...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632789922034400
更新日期:1999-12-01 00:00:00
abstract::Periodic review of professional competence or performance is on the public agenda as a response to rising malpractice suits, iatrogenic morbidity, and mortality resulting directly from professional incompetence, and the inadequacy of current licensing and discipline systems. This article reviews several continuing com...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878701000306
更新日期:1987-09-01 00:00:00
abstract::An integral component of interprofessional education (IPE) is the development of a collaboration-ready health-care workforce. While collaboration is a fundamental element of IPE, there is no existing measure of collaboration skills that is not context specific. This article describes the development and initial valida...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278717752438
更新日期:2019-12-01 00:00:00
abstract::This article describes a protocol that was employed to validate the content of the National Board Dental Hygiene Examination (NBDHE) using two separate practice analyses. The protocol consisted of the following phases: (1) the careful definition of the domain of knowledge and skills required for successful entry-level...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713501073
更新日期:2014-12-01 00:00:00
abstract::Obtaining a high response rate in survey research can bolster statistical power, reduce sampling error, and enhance the generalizability of the results to the population surveyed. We describe a mail survey designed to achieve a high return rate of completed questionnaires from members of the American Psychological Ass...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01678702025002002
更新日期:2002-06-01 00:00:00
abstract::Cluster analysis can be a useful statistical technique for setting minimum passing scores on high-stakes examinations by grouping examinees into homogenous clusters based on their responses to test items. It has been most useful for supplementing data or validating minimum passing scores determined from expert judgmen...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278707307904
更新日期:2007-12-01 00:00:00
abstract::This article summarizes research on Type II translation of prevention interventions aimed at enhancing the adoption of effective programs and practices in communities. The primary goal of Type II translation is to institutionalize evidence-based programs, products, and services. First, the authors describe theoretical...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706290408
更新日期:2006-09-01 00:00:00
abstract::Hospice care in the United States has grown rapidly since its introduction here from England in the mid-1970s. Surprisingly little evaluation of services has been made public, particularly with regard not merely to demographics but also the actual effect of hospice caregiving on patients and families. This article des...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878100400305
更新日期:1981-09-01 00:00:00
abstract::The gap between evidence-based guidelines for clinical care and their application in medical settings is well established and widely discussed. Effective interventions are needed to help health care providers reduce this gap. Whereas the development of clinical practice guidelines from biomedical and clinical research...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705284443
更新日期:2006-03-01 00:00:00
abstract::The Clinical and Translational Science Award (CTSA) program was designed by the National Institutes of Health (NIH) to develop processes and infrastructure for clinical and translational research throughout the United States. The CTSA initiative now funds 61 institutions. In 2012, the National Center for Advancing Tra...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713499586
更新日期:2013-12-01 00:00:00
abstract::The central purpose of this article is to review the major approaches to evaluation of health care quality in terms of its use of different data sources. The areas of application, advantages, and disadvantages of seven data sources are presented, including direct observation, clinical records, record abstracts, clinic...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878300600302
更新日期:1983-09-01 00:00:00
abstract::Although it is increasingly common, meta-analysis is still a relatively new addition to the toolbox of research strategies. Partially because of its newness and partially because its early enthusiasts may have overstated its presumed contributions, a number of common misunderstandings have developed about the meta-ana...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879501800305
更新日期:1995-09-01 00:00:00
abstract::Subjective tinnitus is an enigmatic and chronic condition that is predominantly managed as symptomatic. Little high-level evidence exists for the efficacy and specificity of the various tinnitus management strategies currently used, and this is reflected in documents that aim to guide clinicians. As a consequence, the...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278710390355
更新日期:2011-12-01 00:00:00
abstract::Normalization has gained wide acceptance as a goal that residential institutations for the mentally retarded should strive to achieve, but many organizations have been shown to have difficulty achieving the goal. Theories developed from the organizational contingency perspective suggest that organizations with bureauc...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878000300105
更新日期:1980-03-01 00:00:00
abstract::Most chronic fatigue syndrome (CFS) studies are based on information about patients from primary or tertiary care settings. These patients might not be typical of patients in the general population. This investigation involved examinations of individuals with CFS from a community-based study. A random sample of 18,675...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632780022034598
更新日期:2000-09-01 00:00:00
abstract::Pharmacists are routinely providing reproductive health counseling in community pharmacies, but studies have revealed significant deficits in their competencies. Therefore, continuing pharmacy education (CPE) could be utilized as a valuable modality to upgrade pharmacists' capabilities. A randomized controlled trial w...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,随机对照试验
doi:10.1177/0163278713513949
更新日期:2015-09-01 00:00:00
abstract::This article summarizes the results of a critical review of several cost-benefit analyses (CBA) of health care programs. With pertinent examples, it is demonstrated that the results and conclusions of a study depend upon the assumptions and methods underlying the measurement of costs and benefits in a CBA. Given the i...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327878400700302
更新日期:1984-09-01 00:00:00
abstract::Croatia faces a major threat of smoking-related health burdens given the monumental changes this newly formed country has undergone in the past 15 years because of its postcommunist democratic and economic transitions and the destructive 1991-1995 war with Serbia. This article provides information on Croatia's general...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278708320151
更新日期:2008-09-01 00:00:00
abstract::Prevalence of hepatitis C (HCV) in injection drug users (IDUs) is high and once HCV has been detected, follow-up medical care is essential. Six hundred and one current and former IDUs who tested positive for HCV antibodies received referrals for medical care. Twenty-four percent (147) of participants returned to be in...
journal_title:Evaluation & the health professions
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更新日期:2006-12-01 00:00:00
abstract::Health policy makers rely on survey estimates of physician practice costs to set reimbursement rates. The Health Care Financing Administration has just funded a multimillion dollar effort to collect survey data that will be used to revise payments under the Medicare Fee Schedule. However, the ability of large-scale ph...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879601900102
更新日期:1996-03-01 00:00:00
abstract::Nonresponses in archival data may violate the missing-at-random assumption in ways difficult to detect. Standard methods of comparing sociodemographics of respondents and nonrespondents are inappropriate when the units of analysis are not also the individuals who maintain the archival record. Under these circumstances...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878701000202
更新日期:1987-06-01 00:00:00
abstract::The set of articles appearing in this issue of Evaluation & the Health Professions provides an in-depth examination of the validation process for licensing and certification test score decisions. The winter 1990 issue of Educational Measurement: Issues and Practice also contains an excellent set of articles about lice...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879401700208
更新日期:1994-06-01 00:00:00
abstract::Sample-size planning historically has been approached from a power analytic perspective in order to have some reasonable probability of correctly rejecting the null hypothesis. Another approach that is not as well-known is one that emphasizes accuracy in parameter estimation (AIPE). From the AIPE perspective, sample s...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278703255242
更新日期:2003-09-01 00:00:00
abstract::The purpose of this study was to determine if already-existing staff in a rural health department could effectively increase access of their clients to Medicaid. All "sliding fee" patients seeking services were asked a series of questions to determine their categorical eligibility for Medicaid. Those identified as pot...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879101400403
更新日期:1991-12-01 00:00:00
abstract::Forty-five complementary and alternative medicine (CAM) efficacy randomized controlled trials (RCTs) from high-impact medical journals (NEJM, JAMA, Annals of Internal Medicine, and Archives of Internal Medicine) were reviewed based on their meeting three validity criteria (the existence of a placebo control, moderate ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278709346810
更新日期:2009-12-01 00:00:00
abstract::Access to outpatient services within the first 30 days after an inpatient mental health episode may influence relapse risk. A retrospective cohort of 3,755 adult Medicaid mental health inpatients discharged from their first managed care acute episode of care from July 1, 1996, through May 20, 1998, were studied. Resul...
journal_title:Evaluation & the health professions
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