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. Caitlin Haile & Alison Kirk & Nicola Cogan & Xanne Janssen & Ann-Marie Gibson & Bradley MacDonald, 2020. "Pilot Testing of a Nudge-Based Digital Intervention (Welbot) to Improve Sedentary Behaviour and Wellbeing in the Workplace," IJERPH, MDPI, vol. 17(16), pages 1-13, August.
    2. Timothy Gubler & Ian Larkin & Lamar Pierce, 2018. "Doing Well by Making Well: The Impact of Corporate Wellness Programs on Employee Productivity," Management Science, INFORMS, vol. 64(11), pages 4967-4987, November.
    3. Rettl, Daniel A. & Schandlbauer, Alexander & Trandafir, Mircea, 2022. "Employee Health and Firm Performance," IZA Discussion Papers 15147, Institute of Labor Economics (IZA).
    4. 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.
    5. 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).
    6. 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.
    7. Rossi, Jairus & Woods, Tim, 2020. "Understanding Shareholder Satisfaction and Retention in CSA Incentive Programs," Journal of Food Distribution Research, Food Distribution Research Society, vol. 51(3), November.
    8. Jairus J. Rossi & Timothy A. Woods & James E. Allen, 2017. "Impacts of a Community Supported Agriculture (CSA) Voucher Program on Food Lifestyle Behaviors: Evidence from an Employer-Sponsored Pilot Program," Sustainability, MDPI, vol. 9(9), pages 1-21, August.
    9. Dr. Paul Kobina Anann Bedu-Addo, 2023. "Assessing The Impact of Work-Related Stress (WRS) and Work-Family Interference (WFI) on The Well-Being of Ghanaian Professional Women: Who is at Risk?," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 7(2), pages 174-189, February.
    10. 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.
    11. Elena Losina & Heidi Y Yang & Bhushan R Deshpande & Jeffrey N Katz & Jamie E Collins, 2017. "Physical activity and unplanned illness-related work absenteeism: Data from an employee wellness program," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-13, May.
    12. Johanna Catherine Maclean & Douglas A. Webber & Michael T. French & Susan L. Ettner, 2015. "The Health Consequences of Adverse Labor Market Events: Evidence from Panel Data," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 54(3), pages 478-498, July.
    13. 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.
    14. 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.
    15. Tanya M. Horacek & Marlei Simon & Elif Dede Yildirim & Adrienne A. White & Karla P. Shelnutt & Kristin Riggsbee & Melissa D. Olfert & Jesse Stabile Morrell & Anne E. Mathews & Wenjun Zhou & Tandalayo , 2019. "Development and Validation of the Policies, Opportunities, Initiatives and Notable Topics (POINTS) Audit for Campuses and Worksites," IJERPH, MDPI, vol. 16(5), pages 1-18, March.
    16. Nathaniel Hilger, 2017. "All Together Now: Leveraging Firms to Increase Worker Productivity Growth," NBER Working Papers 23905, National Bureau of Economic Research, Inc.
    17. 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.
    18. Brenda Wells, 2015. "Pharmaceutical Product Development and Liability With Chantix®: A Teaching Case," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 18(2), pages 297-314, September.
    19. 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).
    20. Daniel Subel & David Blane & Jessica Sheringham, 2022. "Workplace Interventions to Reduce Occupational Stress for Older Workers: A Systematic Review," IJERPH, MDPI, vol. 19(15), pages 1-25, July.

    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.