Dissertationen zum Thema „Employee health promotion“

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1

Björklund, Erika. „Constituting the healthy employee? : Governing gendered subjects in workplace health promotion“. Doctoral thesis, Umeå universitet, Pedagogik, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1953.

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With a post-structural approach and an analytical focus on processes of governmentality and biopower, this study is concerned with how discourses of health are contextualized in educational practice and interaction between educators and participants in workplace health promotion (WHP) interventions. Of concern are issues of the discursive production, regulation and representation of power, knowledge and subjects as gendered beings in workplace health promotion interventions. The methods for generating data are participant observation, interviews and gathering of documentation pertaining to four different workplace health promotion nterventions. Based on these data, the thesis offers an analysis of the health discourses drawn on in the interventions and the technologies of power and of the self by which the participants are governed and invited to govern themselves in the name of health. It also asks what practices and positions that thus come to be made available or not to the participants. Two health discourses are identified: the biomedical discourse and the wellness discourse. Both discourses are drawn on in all four studied interventions, the biomedical discourse being the dominating discourse drawn on. The biomedical discourse is informed by scientific ‘facts’ and statistics and is underpinned by a notion of risk. The wellness discourse is informed by an understanding of health as a subjective embodied experience and is underpinned by a notion of pleasure. Drawing on these discourses, the responsibility for health is placed with the participants and the healthy participant/employee is constituted as a rationally motivated risk-avoider and disciplined pleasure seeker who is both willing and able to actively make ‘good’ choices regarding their lifestyle. Furthermore, and informed by essentialist and heteronormative ideas about gender, the ideal healthy person is modelled on a male norm, representing women as the deviant Other.
2

Neal, Heather A. „Barriers to employee participation in wellness/health promotion programming“. Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1164843.

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A major goal when conducting worksite health promotion activities is to reach a high percentage of employees. Participation rates vary, especially between blue and white-collar workers. This study investigated perceived barriers to participation in both participants and non-participants, as identified by Support, Professional and Auxiliary Service employees (which include blue and white-collar) at Ball Memorial Hospital in Muncie Indiana. A questionnaire was sent through interoffice mail to a random sample of employees. It included five barrier categories: perceived physical barriers, lack of perceived self-efficacy, perceived psychological barriers, convenience factors and presence of social support. The categories were subjected to an F test and results in 3 of the 5 supported the research hypothesis that there would be a significant difference in the perceived participation barrier scores. For four of the five barrier categories the mean value was highest for Professional Service employees.
Fisher Institute for Wellness and Gerontology
3

Thompson, Paige D. „Differences between primary worksite health promotion program provider and program decision-maker in the measurement of success of worksite health promotion programs“. Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1115424.

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This study has presented findings on the correlations of the attitudes of the health promotion program provider and the program decision-maker in measuring the success of their worksite health promotion programs. The purpose of this study was to answer the following three questions: 1) Do company decision-makers and primary program providers agree upon which evaluation methods are currently being used in their worksite health promotion program? 2) Do the company decision-makers and primary program providers rank the top five evaluation criteria in the same order of importance? and 3) In rank order, what are the top five preferred evaluation criteria of the program provider? Results indicate a strong correlation of agreement for questions 1 and 2 (0.937 and 0.951 respectively). The data suggests that primary health promotion program providers and company decision-makers share strong agreement on which evaluation criteria should measure program success. Justification of worksite health promotion requires that the program provider be accountable for the criteria on which the decision-maker bases the programs' success.
Fisher Institute for Wellness
4

Henry, Markanthony. „Factors Motivating Employee Participation in Employer-Sponsored Health Awareness Programs“. ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1517.

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Employers adopt worksite health promotions to reduce the incidence of preventable diseases, reduce healthcare costs, reduce absenteeism and presenteeism, and improve productivity. The purpose of this qualitative phenomenological study was to explore the motivational factors affecting employee participation in employer-sponsored health awareness programs. The theory of planned behavior grounded the study and formed the conceptual framework. Data collection occurred through semistructured interviews with 24 participants in the northeastern United States with lived experiences in worksite health promotion. Participants answered open-ended interview questions regarding the motivations for engaging in health promotions. Data were transcribed and coded for trends and themes. During data analyses, 4 themes emerged, which included program recruitment and notification, employer commitment, employee motivations, and incentives and rewards. The implications for positive social change include the potential for employers incorporating the results to instigate enhanced employee participation in employer-sponsored health awareness programs. Higher employee rates of participation may aid employers in achieving the established benefits of worksite health promotion and may contribute to improving the health of employees.
5

Kenney, Lauren Elizabeth. „Workplace Health Promotion Programs and Perceptions of Employee Body Image“. Xavier University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1473715377719152.

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6

Williams, Melanie L. „Small business organizational support of health promotion programs“. Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1115737.

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The primary purpose for this study was to investigate small businesses organizational support and interest in health promotion. The research question for this study was, "Are small businesses actively involved with the organizational support of health promotion programs?"A survey was distributed via mail to small businesses in the Lynchburg, Virginia area, with a follow up three weeks later because an appropriate number of surveys had not been returned. The results of this study have provided insight into the current status of worksite wellness programs of businesses with fewer than 250 employees.Small businesses do actively support healthy food and smoking policies at the worksite. Some small businesses provided activities to measure employee health risks. The main issue small businesses deal with are safety/accident prevention. Other health topics are not prevalent in small businesses. Small businesses that had a health promotion program in place offered more programs and awareness materials than those who did not and are actively involved in the organizational support of health promotion programs.
Fisher Institute for Wellness
7

Pratt, Jamie M. „The Effects of Worksite Health Promotion Programs on Employee Biometric Data“. BYU ScholarsArchive, 2014. https://scholarsarchive.byu.edu/etd/5752.

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INTRODUCTION: Worksite health promotion programs (WHPP) promote maintenance and changes of health-related behaviors of employees. Some companies opt to contract with a third party provider to implement a WHPP. PURPOSE: This study evaluated the participation rates, availability and use of health coaching, and changes in biometric data over a 2-year time period of employees in 13 companies for whom the WHPP was implemented by Wellness Corporate Solutions (WCS). METHODS: We had 2 years of biometric, health risk appraisal (HRA), or health coaching data on 4,473 employees. The statistical analysis included biometric screening data (percent body fat, body mass index (BMI), total cholesterol (TC), high- and low-density lipoproteins (HDL-C, LDL-C), TC/HDL ratio, triglycerides, glucose, systolic and diastolic blood pressures (SBP and DBP)) from all 13 companies and health coaching data from five companies. RESULTS: Employee participation rates of the 13 companies ranged from 35% to 75%. Five of the 13 companies provided voluntary telephonic health coaching to employees participating in their WHPPs. Of those employees for which we had 2-year data, 125 (12.9%) actually participated in health coaching. Only one of the 13 companies demonstrated improvement in all 10 biometric measurements and 1 company demonstrated improvement in only one biometric measurement. The biometric measurements that showed the greatest improvements over time were triglycerides, blood pressure, BMI, and TC. There was no association found between the number of variables that improved and employee participation rate (p = 0.8814) or the type of incentives offered to employees (p = 0.1389). Availability and use of health coaching did not appear to affect the number of variables that improved. Compared to employees who did not use health coaching, there were significantly greater changes in DBP, HDL-C, and BMI (p < 0.05) in employees who used health coaching. The magnitude of change in variables of interest was dependent, in part, on the baseline value. CONCLUSIONS: Voluntary participation in WHPPs results in positive changes in health-related biometric variables. Health coaching can positively affect the magnitude of change in some biometric variables and the magnitude of change is likely related to the baseline value and the frequency of coaching interactions. Further research should evaluate the benefits of various forms and frequencies of health coaching. Worksite health promotion programs and health coaching may also have a positive impact on other variables (e.g., employee attitudes and morale) not addressed in this study.
8

Bayer, Daniela. „Predictors of Employee Interest and Participation in Worksite Health Promotion Programs“. ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1957.

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Many companies in the private sector have established workplace health promotion programs (WHPP) that enhance employee health, engagement, and performance. Employee participation is voluntary and usually low, which limits the health effectiveness of WHPP. Further, the influence of implicit factors such as attitudes, health self-perceptions, or job satisfaction is not well understood. The purpose of this study was to addresses the problem of low employee participation in WHPP and to contribute to an understanding of wellness in the workplace. The theoretical framework was the theory of attitude-behavior consistency and models of expectancy-value. The research was designed as a quantitative cross-sectional study that used the Wellness Evaluation of Lifestyle instrument. Research questions examined the influence of psychosocial and demographic variables on employee participation in WHPP. The survey was administered as an online self-assessment. The questionnaire was completed by 115 members of 3 professional networking groups. The respondents were based in Silicon Valley, California, and employed for at least 1 year by a company with WHPP. Statistical analysis with an independent-samples t test, partial correlation, and standard multiple regression indicated no significant association between gender and WHPP participation and no statistically significant relationship between psychosocial variables and WHPP participation in men and women, controlling for age. Data showed statistically significant positive correlational relationships among several variables. The study contributes to the literature on health behavior in the workplace by providing a theory-based approach to analyzing personal and attitudinal variables of WHPP participation.
9

Rhodes, Eva Ann Bourgeois. „The Effects of Employee Health Promotion Practices of Texas Public School Districts on Costs for Absenteeism, Health Care Premiums, Health Care Claims, and Workers' Compensation Claims“. Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc279060/.

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10

Dido, Romano William. „Wellness strategies for unskilled and semi-skilled employees in the built environment“. Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/6929.

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More employees in organisations in the built environment are beginning to suffer from ill health related to work when compared with employees in other industries. There are many reasons for this, such as: unsuitable working conditions, physical demands linked to the occupation and the high proportion of transient unskilled and semi-skilled employees. A study concerning the wellness levels of unskilled and semi-skilled employees therefore contributes to the understanding and improvement of employee health within the industry. The main objective of this study was therefore to identify the wellness levels of employees in the built environment and their perceptions of the extent to which their company provides wellness interventions or strategies. The methodological approach used in this study was within a quantitative paradigm, and a questionnaire was used as a data collection instrument. The findings indicated that the employees engaged in healthy activities and that the organisation encouraged the employees to maintain healthy lifestyles. However, there were areas that required consideration. Specifically, more attention should be given to budgeting for wellness interventions, regular health screenings should take place and more attention to substance abuse is required.
11

Smith, Davina. „Geographically Distributed Employees' Perceptions of Employee Assistance Program Access“. ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6675.

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Many investigators have documented high levels of stress in the U.S. workplace and the underutilization of employee assistance programs (EAP). Researchers in other studies have concluded that an employee's perception of a service influences participation and service use. However, the perceptions of geographically distributed employees, who represent a growing population, have not been sufficiently examined. The purpose of this study was to investigate geographically distributed employees' perceptions regarding access to EAP stress management services to address the problem of EAP underutilization. Organizational justice theory served as the theoretical framework. The study design was generic qualitative. A purposeful sample of 15 geographically distributed employees provided rich data through semi structured interviews and online questionnaires. The use of generic inductive coding yielded emergent themes regarding geographically distributed employees. Results indicated that geographically distributed employee's perceived access to EAP stress management services as unclear, time-consuming, and inconvenient due to physical separation. This research is significant for human service, employee assistance, and human resource professionals who want to improve geographically distributed employees' perceptions of access to EAP stress management programs. More effective marketing may increase employee use of EAP services and alleviate workplace stress, thus positively impacting social change by helping to cultivate a healthy workforce.
12

Ward, Pamela Rose. „The development of health promotion program guides for the workplace“. Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape7/PQDD_0034/MQ47488.pdf.

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13

Bessinger, Elmarie. „The development of a model for an employee wellness programme for a fast moving consumer goods organisation“. Pretoria : [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-04282009-171717/.

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14

Nichol, Amelia Prudence. „Examining employees perceptions of workplace health & well-being promotion initiatives“. Thesis, University of Canterbury. Psychology, 2015. http://hdl.handle.net/10092/10592.

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The objective of the present study was to examine the perceptions of employees who have participated in workplace health promotion (WHP) initiatives, more specifically, whether the employees perceived the WHP initiatives to have an impact on their well-being, general health or work. Furthermore, the effect of WHP initiatives on the relationship between job demands-resources and positive work outcomes, namely employee resilience, engagement, well-being and affective organisational commitment, was investigated. This study collected perceptions from 107 employees, all of whom were employed in organisations which had engaged in WHP initiatives. MultipleThe objective of the present study was to examine the perceptions of employees who have participated in workplace health promotion (WHP) initiatives, more specifically, whether the employees perceived the WHP initiatives to have an impact on their well-being, general health or work. Furthermore, the effect of WHP initiatives on the relationship between job demands-resources and positive work outcomes, namely employee resilience, engagement, well-being and affective organisational commitment, was investigated. This study collected perceptions from 107 employees, all of whom were employed in organisations which had engaged in WHP initiatives. Multiple hierarchical regression analyses were performed. Two significant interactions were found – the perception the WHP initiative had an impact on well-being and work had a moderating effect on the relationship between work overload and employee resilience. These findings have implications for organisations developing WHP initiatives targeted at improving the health and well-being. Further investigation of a wider span of perceived impacts and a more targeted examination, such as the type of WHP initiative completed, or the time that the employee spent doing the initiative is warranted. hierarchical regression analyses were performed. Two significant interactions were found – the perception the WHP initiative had an impact on well-being and work had a moderating effect on the relationship between work overload and employee resilience. These findings have implications for organisations developing WHP initiatives targeted at improving the health and well-being. Further investigation of a wider span of perceived impacts and a more targeted examination, such as the type of WHP initiative completed, or the time that the employee spent doing the initiative is warranted.
15

Badland, Hannah M. „Physical activity in a sample of New Zealand professional employees this thesis is submitted to the Auckland University of Technology in partial fulfilment of the degree of Master of Health Science, December 2003“. Full thesis. Abstract, 2003.

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16

Cheng, Wai-ming Warman. „Limiting factors in promoting corporate fitness in Hong Kong : employers' and employees' perspectives“. HKBU Institutional Repository, 1997. http://repository.hkbu.edu.hk/etd_ra/156.

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17

Perez, Alicia Carmen Marlena. „Program Evaluation of the Employee Health and Wellbeing Program“. ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7568.

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Health promotion and disease prevention are a focus of population health management. Without ongoing and rigorous evaluation, these programs may be in jeopardy of continuing. The purpose of this project was to conduct a descriptive population health- focused evaluation of a large-scale health system's employee health and wellbeing program. Guided by the Center for Disease Control and Prevention (CDC) framework for program evaluation in public health and National Center for Organization Development guidelines, a nurse-led evaluation was conducted using 5 specific data sets emphasizing organizational structure, employee health offerings, employee surveys, Pathway to Excellence survey, and program contributions. A descriptive analysis was applied towards interpreting the organizational structure, and identifying all contributions to employee wellness. Inferential analysis was applied to identify correlations between survey results. The findings of the evaluation were mixed. The organizational structure of the program complied with CDC wellness program guidelines; of the 97 service departments surveyed, results revealed an 83.51% improvement in engagement, disengagement, satisfaction, best places to work, and customer satisfaction. The Pathway to Excellence survey results revealed a supportive organizational structure for a culture of wellness. The program contribution analysis showed that the health system provided accessible wellness and health promotion opportunities. Positive social change may result from this evaluation as the program is reinforced and the focus on employee wellness, health promotion, and disease prevention services are continued. As a result, the lives of employees, their families, and communities might be improved.
18

Gie, Liiza. „Theoretical and practical perspectives of employee wellness programmes at a selected South African university“. Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2600.

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Thesis (DTech (Human Resource Management))--Cape Peninsula University of Technology, 2017.
In attempting to contribute to social transformation, South African Higher Education has undergone considerable changes, taking on greater student enrollment, increasing curriculum responsiveness, and prioritising pass- and graduation rates, all of which have put universities’ resources, specifically their human resources, under considerable pressure and stress (Rensburg, 2013: 5). Paradoxically, there has been no meaningful attempt to address the negative effects of these pressures and stress on the wellness of those who are expected to cope with the enormous changes. In addition, Higher Education Institutions’ (HEIs’) mergers, although honourable in intention, have resulted in negative, unintended consequences for staff. Previous research studies have highlighted the growing occupational stressors experienced by HEIs’ staff; however, limited sustainable solutions have been forthcoming. It is on this premise that this research study aimed to develop a holistic employee wellness programme model that would provide a support system for university staff. This model would alleviate the impact of challenges experienced in staff daily work and on their personal lives, and ultimately aid in promoting quality of work life and balance within the institution. The intention was to prevent university staff from experiencing job burnout and health-related problems, thereby promoting their optimal wellness and performance at work. A mixed methods research design was adopted involving a case study and a quasi-experimental research design. Purposive sampling was applied within the case study unit which included both academic and non-academic staff, as they shared similar attributes and wellness experiences within a university. Triangulation mixed methods that was applied combined, with equal importance, both quantitative and qualitative data which were brought together for comparison. This research study identified thirteen employee wellness factors that formed the foundation of a holistic employee wellness programme. Each employee wellness factor was allocated according to three types of interventions, namely primary – prevention, secondary – reduction, and tertiary – treatment, in order to promote employee-organisational health and wellness. The prevention intervention firstly promotes quality of work life and balance through a number of wellness factors, namely, Wellness working environment, Organisational intervention expectations, Organisational wellness support, Organisational culture, Human relations, and Social support; and, secondly, workplace health is promoted through the wellness factors, Physical health and wellness, and Lifestyle. The reduction intervention builds psychological capital through Psychological health and wellness, Resourcefulness, Resilience, and Basic work life skills.
19

Thompson, David J. „A study of the demographics, health behaviors, health beliefs, and motivation to exercise of participants of a corporate fitness program“. Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/917046.

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The Purpose of this study was to compare the demographic characteristics, health behaviors, health beliefs, and motivation to exercise of participants and people intending to participate in a corporate fitness program with those of non-participants and people not intending to participate. Six hundred employees of Lands' End, Inc. were randomly selected and mailed a questionnaire. A total of 307 employees returned the questionnaires for analysis. Raw scores were calculated and graphed for all data of this study. The Hypotheses were then tested with a Chi-square analysis. Significant differences were found between participants and non-participants as well as between those intending to participate and those not intending to participate. Demographic characteristics proved to be of little importance as only job classification showed any difference. However, participants appeared to be slightly healthier as they had fewer sick days and visited the physician less often. Participants believed that physical activity led to good health and always used that as motivation to exercise more regularly than non-participants. Participants also used fun, self-discipline, and body attractiveness as motivation to exercise. However, even though the participants appeared to be healthier than non-participants, the development of the Activity Center led to an increase in their exercise level. Employees who indicated that they intended to participate in the next six months were most likely to be salaried and believed that eating nutritious was important for their health. Those intending to participate also listed health and fitness and fun as motivation to exercise more than those people not intending to participate. Further study is suggested.
Fisher Institute for Wellness
20

Glew, Angela Marie-Maynard. „A descriptive analysis of worksite health promotion courses in undergraduate health education programs“. Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1177974.

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This study was designed to answer the following research questions: "To what extent do undergraduate health education programs offer a worksite health promotion course?" "What are the components included in the worksite health promotion courses offered by colleges and universities?" "Does program approval or accreditation impact whether or not a program offers a worksite health promotion course?" and "Does CHES preparation of students impact whether or not a program offers a worksite health promotion course?"Data were collected from colleges/universities across the nation using a written, mailed questionnaire. From the analysis of the data it was found that 24.7% of the undergraduate health education programs surveyed offer a worksite health promotion course, none of the components on the checklist were present in all WHP course syllabi, there does not appear to be a statistically significant relationship between a program having SABPAC approval or having NCATE accreditation and the offering of the WHP course, and there does not appear to be a statistical significant relationship between a program preparing it students for the CHES examination in the offering of a WHP course.
Department of Physiology and Health Science
21

Power, Brian. „Developing evidence-based and theory-informed recommendations for a workplace-based behaviour change intervention targeted to nurses“. Thesis, University of Aberdeen, 2016. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=230608.

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Unhealthy eating and physical activity behaviours are common among nurses. As nurses spend a substantial proportion of their waking hours at work, interest in delivering interventions in the workplace to improve this populations' eating and physical activity behaviours is growing. This programme of research aimed to systematically develop evidence-based and theory-informed recommendations for a workplace intervention to change nurses' eating and physical activity behaviours. Methods: A systematic literature review of published randomised controlled trials was undertaken. Factors that behavioural theories suggest may influence nurses' eating and physical activity behaviours were identified through theoretical domains framework-informed qualitative interviews and a survey of nurses. Intervention recommendations were specified in terms of (i) intervention functions and policy categories using a Behaviour Change Wheel and (ii) theory-informed behaviour change techniques using a behaviour change technique taxonomy. Evidence related to the parameters of effectiveness for each technique was also taken into account during this intervention specification process. The selected techniques were then combined into a conceptual overview of a potential workplace intervention. Results: Data from 13 randomised controlled trials indicate workplace-based behaviour change interventions targeted to this population are effective in decreasing body weight. The evidence base is, however, limited in quantity and quality. Nurses' beliefs about important determinants of eating and physical activity behaviour change were identifed across 16 qualitative interviews and 245 survey responses and key determinants included: environmental context and resources; behavioural regulation; emotion; beliefs about consequences; knowledge and optimism. Based on this behavioural diagnosis, 24 behaviour change techniques suitable for targeting the identified determinants were chosen and combined into a potential workplace intervention. Conclusions: This thesis illustrates the utility of the Theoretical Domains Framework, the Behaviour Change Wheel and the behaviour change technique taxonomy for developing workplace intervention recommendations. The proposed recommendations address a gap in the current evidence base. Such an intervention, if implemented, has the potential to improve nurses' eating and physical activity behaviours and in turn, the health of nurses and the quality of healthcare delivery.
22

Schumann, Jennifer N. „An analysis of ergonomic risk factors relating to strains at Company XYZ“. Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007schumannj.pdf.

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23

Starr, Noah. „Analysis of a pre-work stretching program at Crystal Finishing Systems, Inc“. Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007starrn.pdf.

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24

Rigsby, Andrea Danielle Gropper Sareen Annora Stepnick. „Success of women in a worksite weight loss program attempting to lose weight as part of a group compared to women attempting to lose weight as individuals“. Auburn, Ala, 2008. http://repo.lib.auburn.edu/EtdRoot/2008/SPRING/Nutrition_and_Food_Science/Thesis/Rigsby_Andrea_4.pdf.

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25

Belton, Leigh Wiley. „Manager characteristics and support for worksite health promotion programs that target women in small, blue-collar worksites“. Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=2249.

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26

Thurber, Gina C. „Supporting wellness leaders with workplace wellness initiatives in a community setting“. Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1349769.

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Eighty one percent of employers offer programs that focus on wellness (Hewitt, 2005 & Collins, 2004), but most do not have the resources to hire a health professional, and less than 40% of those that implement wellness programs have training. Qualitative and quantitative data were used to identify ways health professionals can support practitioners who are implementing wellness programs.Results showed that survey respondents are involved with wellness of their personal interest (94%, N=52). Since few have had training, workshops in a community setting are a good way for implementers to discuss challenges, successes, and ideas.Recommendations from this study include facilitating more canned programs that allow for tailoring, creating networking opportunities for wellness program implementers, allowing for more time during workshops for discussion of program materials, focusing on ways to overcome barriers.
Fisher Institute for Wellness and Gerontology
27

Gxolo, Zingisani Mzontsundu. „The effect of on-site wellness programs on absenteeism, presenteeism, stress and health care costs“. Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/14323.

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The prevalence of health risk behaviours is growing among South African employees. The deteriorating health of the public and the costs there off, which arise from making unhealthy choices about one’s lifestyle, are a major cause of many preventable Non-Communicable Diseases (NCD’s). The effect of these NCD’s on an organisation can result in employees’ ill health and negative stress, which in turn can lead to absenteeism, presenteeism and thus decreased productivity. Several studies propose that the absenteeism together with presenteeism can cost an organisation up to three times as much as medical costs with stress also being flagged as a severe work-related hazard. Literature shows that ill health affects employee ability to function optimally, thus indirectly affects productivity. Studies on on-site wellness programs, although they report savings in health care costs and increase in productivity, their true effectiveness is not sufficiently measured. To add to this, there is a paucity of work that exists regarding the benefits of on-site wellness programs in South Africa. It is suggested that data about the effect of successful wellness programs does not always make its way to academic literature, thus the observed shortage in investment on such programs from South African companies. This study we aim to find out the effect of on-site wellness programs on absenteeism, presenteeism, stress and health care costs. The results oppose what literature findings report. Reasons for these findings are therefore speculated.
28

Ryan, Bnooy M. „Medical claims analysis used to determine proactive solutions for reducing health care costs“. Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007ryanb.pdf.

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29

Perkins, Renee. „The Influence of Marketing Strategies on Employee Perception of a Small Rural Kentucky Hospital“. TopSCHOLAR®, 1992. https://digitalcommons.wku.edu/theses/2716.

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A well-known fact relating to health care in the 1990s is the delimma being faced by small rural hospitals across the United States. They are now at a crossroads between survival and closure. This thesis addresses the influence that effective marketing strategies can have on the outcome of rural hospitals if such strategies are targeted to the right populations Although the patients, the community, and the physicians are important target groups, this thesis addresses the impact marketing can have on the employee population and how that population can, in turn, affect community perception. This is the first study to be done at Caverna Memorial Hospital to indicate employee perception as a result of marketing, and careful research of available literature shows that it may well be one of the first done in a rural hospital in Kentucky on this particular relationship An important premise to this study is the fact that employees need to know that their success as an employee is dependent upon the hospital and, just as important, the hospitals survival can be dependent upon the employees' influence on potential customers. The study concentrated on outpatient services and took place in a 30-bed hospital located in south central Kentucky. This hospital has economic problems and conditions that make it typical of small rural hospitals across the country. The instrument utilized for this study is a pretest and posttest questionnaire presented to the entire employee population before and after a period of time when marketing endeavors were undertaken by the hospital. To test the difference of scores between the pretest and posttest, repeated measures Analysis of Variance was used to compare means of both groups. The principle finding was that employees viewed the hospital and its' outpatient services in a more positive light after marketing endeavors had been undertaken. Since effective marketing endeavors do have the potential of positively influencing employees in a small rural hospital setting, and since hospital employees have the potential of influencing potential customers, hospital administrators may do well to consider budgeting for marketing and directing such marketing tactics to the often forgotten employee population.
30

Fritsche, Ntombikayise. „Utilisation of university health care services by employees of the University of Fort Hare“. Thesis, University of Fort Hare, 2016. http://hdl.handle.net/10353/5950.

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Background: University of Fort Hare (UFH) provides health care services to its students and staff; however, whether the health care services are being utilised by the staff is only speculative. Hence, the aim of the study was to determine the level of employees’ awareness regarding availability of University Health Care Services (UHS) and factors responsible for their utilization. wildlife and thereby may constitute a serious risk to public health. Therefore, it is recommended that proper regulation of the use of the compounds and their safe disposal be ensured to protect aquatic resources and the well-being of humans. Methodology: This quantitative descriptive study involved conveniently selected 255 UFH employees who were either permanently employed or on contract employment for two years and above. A structured self-administered questionnaire was used for data collection. The questionnaire solicited information on demographics variables, awareness of employees regarding the existence of university health services, and factors affecting utilization of university health services (UHS) by employees. Data was analysed using descriptive statistics (frequency and percentages) and inferential statistics (logistic regression analysis). Results: -Two hundred and thirty three (91 percent) of sampled UFH employees in both campuses are aware of the UHS. The longer the duration of employment and the older the employee (above 50 years old) the more likely the employees are aware of UHS. However, the elderly employees displayed poor utilization of health care services. Accessibility of UHS (96 percent), satisfaction with UHS (95 percent), listening to others (word of mouth) (61.2 percent) and having a health concern (51 percent) encourage UHS utilization whereas being unaware (8.6 percent) of the UHS remains the barrier for utilisation. Having medical aid (81 percent) prevent those who are aware of UHS from utilising the university health care services. Operating hours (30 percent), staff attitudes (50 percent) and long waiting time (70 percent) with lack of essential medicines (38 percent) prohibit employees from revisiting. Conclusion: The University of Fort Hare’s health care services are well known by almost every employee through “word of the mouth” though they are not completely aware as to which health service programmes are being offered. The utilization of University of Fort Hare’s health care services is positively and adversely influenced by different factors.
31

Cumin, Michelle Brenda. „Reduction of risk for lifestyle diseases group diet and physical activity intervention in the workplace : [thesis submitted in partial fulfilment of the degree of] Master of Applied Science, Auckland University of Technology, June 2004“. Full thesis. Abstract, 2004.

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32

Wolfe, Megan Elizabeth. „An evaluation of an exercise adherence intervention using the social cognitive theory“. Columbus, Ohio : Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1229800264.

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33

Berlin, Thomas. „The extent and impact of the incorporation of employee health promotion programs in the central Florida business community“. Master's thesis, University of Central Florida, 1990. http://digital.library.ucf.edu/cdm/ref/collection/RTD/id/15461.

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University of Central Florida College of Health and Professional Studies Thesis
Employee health insurance premiums continue to rise exponentially despite stagnant inflation rates. The national trend in recent years has been to decrease benefit usage by attempting to establish a healthier workforce. The incorporation of employee health promotion programs either within, or outside of the worksite, is the favored means of providing a solution. The purpose of this study is to determine the extent of employee health promotion program usage in Central Florida, and the economic impact, if any, of these programs. The basic research questions for this study are: 1. What percentage of the corporations surveyed have instituted employee health promotion programs. 2. What is the most common program content among the companies using such? 3. What is the average cost of program implementation (per employee) and the average annual operations cost for companies using health promotion programs? 4. Has a real of perceived monetary gain been determined by the use of the health promotion programs? 5. Can any cost savings be originated? 6. Does a relative difference in savings exist between large and small companies by using such programs? 7. What percentage of Central Florida companies using health promotion programs depend upon extraneous services (e.g., PPOs, HMOs, consultants) to initiate and/or perpetuate their programs? The procedure of study will include the use of a survey questionnaire mailed to a representative sampling of 100 various size area business establishments, grouped according to employee number. Quantification and analysis of survey results will then be summarized and used to ascertain the effectiveness of such endeavors.
M.S.;
Masters;
Health and Professional Studies
Health Sciences
48 p.
v, 48 leaves, bound : ill. ; 28 cm.
34

Sanders, Danna Lane. „An Evaluation of the Utilization and Outcomes of a Georgia County Board of Health Innovative Worksite Wellness Policy“. Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/iph_theses/64.

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Introduction: Adult obesity is a significant public health problem, increasing chronic disease and resulting in health and economic implications. The worksite environment provides a setting for comprehensive Worksite Health Promotion programs that can benefit employees and employers. However, the literature identifies barriers to implementation of WHP programs and achievement of positive outcomes. The purpose of this study was to determine if a DeKalb County Board of Health Employee Wellness Policy that provides work breaks during the workday for employees to engage in wellness activities has resulted in actual use of the break and employee perceived benefits. The study also examined barriers to use of the wellness break. Methods: In collaboration with the DeKalb County Board of Health, a cross-sectional study of 187 employees across eight locations was conducted. The survey instrument included both quantitative and qualitative questions and was administered electronically or in person via group administration. Results: Of survey respondents, 74% knew about the Employee Wellness Policy, 57% understood policy guidelines, and 41% had ever used wellness breaks. Respondents most often reported using wellness breaks for physical activity, most often for walking/jogging. A majority of employees using wellness breaks reported positive outcomes including: increased physical activity (64.4%), weight loss (65.2%), increased productivity (79.5%), improved work relationships (86%), increased work morale (64.4%), and increased overall positive outlook (69.9%). Barriers to utilization included: lack of time, lack of knowledge, lack of encouragement from management, and clinical setting. Management employees were significantly more likely to know about the policy and understand policy guidelines compared to non-management employees. Clinical employees were significantly less likely to ever use wellness breaks and less likely to feel their manager supports the policy. Conclusion: Sampled employees participating in wellness breaks perceive health and work-related benefits; however barriers have prevented some employees from utilizing the breaks. Quantitative and qualitative data may inform wellness policy changes for improved utilization and outcomes. Findings related to self-reported employee outcomes provide some support for a discretionary paid work break policy in the workplace.
35

Grötzinger, Elsabé. „Employee knowledge, attitude and practices relating to HIV/AIDS at [a] mining company in Namibia“. Thesis, University of the Western Cape, 2006. http://hdl.handle.net/11394/2284.

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Magister Artium (Social Work) - MA(SW)
A global prospecting and mining leader recognizes HIV/AIDS as a threat to the company and its employees. The management has committed them to have a proactive approach trying to minimize the impact of this killing disease by putting in place effective workplace programmes. However, programmes can only be successful if the employees’ needs regarding knowledge, attitudes and sexual practices have been thoroughly researched identified. The aim of this study was to do an explorative descriptive study of the knowledge, attitudes, perceptions and behaviours of the employees of a mining company in Namibia on HIV/AIDS. The objectives were: diams; To measure the overall knowledge levels as well as attitudes and sexual practices of DBMN employees on HIV and STD's. diams; To determine whether there was a difference in the knowledge levels, attitudes and sexual practices of employees in different job categories, age groups, marital status, religion and education level. diams; To measure risky sexual behaviours of participants. All employees (550) of this mining company were invited to participate in the survey and 226 employees responded. A self-constructed questionnaire was used to collect data administered in a group setting. The questionnaire was regarded as having content validity and the SPSS program was be utilized for descriptive statistics. Utilizing the ratio data developed through the indexes, an analysis of variance (ANOVA) was conducted to determine significant difference between the means of the groups in comparison. Because multiple comparisons were done, a post hoc test (Fisher LSD) was used to determine significant differences between group means.
South Africa
36

Smidt, Michelle Nicole. „Employee attributions about wellness programs: Moderating the impact of job demands on employee outcomes“. Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/197488/1/Michelle_Smidt_Thesis.pdf.

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Using a cross-sectional research design involving data from 524 Australian employees, this study examined the extent to which attributions about wellness programs moderate the relationship between job demands and employee outcomes. The interaction effects varied depending on the employee outcome in question and revealed that, in the context of job demands, HR attributions do not have an exclusively positive or negative influence but can be associated with favourable or unfavourable employee outcomes. Moreover, attributions were positively correlated with each other, indicating that it is possible to hold competing views simultaneously and that multi-faceted profiles may exist.
37

Gardner-Ray, Janet. „The impact of social groups and content on the maintenance of health behavior practices over a one-year period“. Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1036819.

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During a period from May, 1993 to July of 1993, 309 employees of a large telecommunication's company selfselected to participate in an eight-week health promotion program designed to assist them in changing health behaviors. The program participants were then surveyed at the end of one-year to determine if they had maintained the health behavior changes practiced during the eight-week program and the impact of family, friends and coworkers on the level the participant was practicing the health behavior changes at the end of one-year.A growing body of evidence suggests ongoing research in the area of health behavior change because health related medical claims, absenteeism and decreased productivity continue to have serious financial consequences for American business. In Corporate America, health education programs have been organized to give employees the opportunity to change negative health habits and replace them with positive health habits. The assumption being, that healthier employees': (1) use less medical benefits (2) report fewer absent sick days and (3) are more productive employees.In addition, prior research indicates that being part of a social network or having access to social group support can help individuals decrease the level they practice negative health habits and increase the level they practice positive health habits. Thus, an understanding of social group support on the behavior change process is important to education professionals evaluating the effectiveness of health education programs within the corporate setting.This research study was designed to examine a health promotion program offered to employees of a large telecommunication company and the impact social groups andcontent had on the level participants changed their health related behaviors. The research assumed that examining encouragement and discouragement provided by: (1) family, (2) friends, and (3) coworkers would lead to a greater understanding of the impact social groups had on the level a participant practiced health behavior changes at the end of one year.This research indicated that social group participation played a significant role in the level a program participant was practicing health behavior changes at the end of one year. The analysis further indicated that support from family and friends were significant factors in the behavioral change process.In addition, organizational support prior to and during the "Health Habits Challenge" program had no significant impact on the level participants were practicing health behavior changes at the end of one year. However, participants receiving organizational support prior to and during the "Health Habits Challenge" program perceived their health as having improved during the one-year maintenance phase, while participants who did not receive organizational support reported their health status had declined.Relationships reported by this research study are sufficiently strong enough to warrant further research both qualitative and quantitative, to provide health educators with a better understanding of how social groups and organizational content influence health behavior changes. The factors are potentially important, not only for theoretical and research purposes but also for making practice and policy decisions appropriate to health promotion and health education.
Department of Educational Leadership
38

Calitz, Margaretha. „The effect of an aerobic exercise program on the health-related quality of life of HIV-positive employees“. Pretoria : [S.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-10192009-145934/.

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39

Morrow, Heather E. M. „Corporate social performance, psychologically healthy workplaces and applicant attraction /“. Halifax, N.S. : Saint Mary's University, 2009.

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Thesis (M.Sc.)--Saint Mary's University, 2009.
Running head: Factors affecting applicant attraction Includes abstract. Supervisor: Victor Catano. Includes bibliographical references (leaves 41-46).
40

Friedman, Terry A. „Factors that support and inhibit the development and maintenance of healthy lifestyle behaviors in Land's End employees“. Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1014851.

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The purpose of this study was to identify familial, as well as organizational factors that support and inhibit the development or maintenance of healthy lifestyle behaviors of Lands' End, Inc. employees. Participation by the twelve employees and eight spouses was based on employees' Multidimensional Health Locus of Control Questionnaire scores. Participants answered questions in during a 20minute semi-standard interview. The data was analyzed and interpreted, resulting in four emergent themes. The themes included: a perception of family support, a perception of organization support, a perception of barriers to family support, and a perception of barriers to organizational support for healthy lifestyle behaviors. The results of this study support the literature on support mechanisms for healthy lifestyle behaviors and provides suggestions which may be useful for future study in this area.
Fisher Institute for Wellness
41

Grace, Jeanne Martin. „Impact of a worksite physical wellness programme on sick leave, absenteeism and health-related fitness“. Pretoria : [s.n.], 2001. http://upetd.up.ac.za/thesis/available/etd-05232007-153642.

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42

Cartwright, Amanda R. „Physical activity and its association with selected dietary behaviors“. Thesis, University of North Texas, 2001. http://www.oregonpdf.org.

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Thesis (M.S.)--University of North Texas, 2001.
Includes bibliographical references (leaves 26-32). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.
43

De, Koker Rudi Tyrone. „Employee perceptions of downstream outcomes of health promotion: a case study of the clothing and textiles industry in South Africa“. Thesis, Cape Peninsula University of Technology, 2020. http://hdl.handle.net/20.500.11838/3121.

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Thesis (MTech (Business Administration))--Cape Peninsula University of Technology, 2020
Employee perceptions of Workplace Health Promotion (WHP) are pivotal for researchers to ascertain the degree of employee satisfaction and as a quality indicator of such an initiative within an organisation. However, there are considerable challenges faced regarding participation in WHP as employees do not trust the confidentiality of the programme. The problem is further exacerbated in that employees experience the wellness programme as a demand by the employer rather than a beneficial resource to the employee. Thus, this research study aimed to determine the effect of workplace health promotion on downstream outcomes within an organisation. To realise the primary research objective, this study looked into the effect of WHP on clothing and textile employee’s (CTE) physical, mental, cognitive and affective outcomes, and social wellbeing. It also explored the effect of the facilitation of preventive interventions. This study evaluated the perceptions of employees on workplace health promotion in the clothing and textile industry in Cape Town. A combination of both qualitative and quantitative research approaches was followed. Quantitative data were collected from 121 CTEs through a survey questionnaire. The qualitative data were collected via interviews amongst managers, clinical staff and WHP program promotors. SPSS was utilised for analysing the quantitative data, and content analysis was conducted for qualitative data. The results of the study mostly pointed to the fact that employees in the clothing and textile industry perceived WHP in a very positive light. Most respondents recognised the benefits of WHP to the organisation which includes reduced healthcare costs in the long term and employee satisfaction, among others. The findings further revealed that the majority of CTEs were either unsure or noticed no effect of WHP on their physical health. However, this statement is contradicted in that 84.3% of respondents stated that they feel physically better due to participation in the WHP service offering. A previous study reported disagreement or indecisiveness to this statement amongst WCWs. This study revealed that there had been a positive impact on absenteeism and psychosocial issues. Most of the CTEs perceived that participation in WHP made the prevention of illnesses financially affordable.
44

Bone, Emily C. „A determination of the effects of nutrition and physical activity education on cholesterol levels over time in the worksite“. Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1246465.

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The purpose of this study was to determine the effectiveness of group nutrition and physical activity education classes in lowering cholesterol levels of worksite employees at 6-and 12-month intervals. A total of 32 participants were followed through the study. The group of participants included 24 female and 8 males, all over the age of 40. The data were analyzed using one-way ANOV A with repeated n1easures, post¬hoc analysis, Pearson's correlation coefficient, and ANCOV A to test six null hypotheses. Statistically significant differences in HDL cholesterol levels were found between baseline and 12 months (p=O.OOO) and between 6 months and 12 months (p=O.OOO). Statistically significant differences were also found in TCIHDL cholesterol ratios between baseline and 12 months (p=0.02) and between 6 months and 12 months (p=0.021).
Department of Family and Consumer Sciences
45

Scott, Eunice. „Wellness Education and Job-Related Injuries and Illnesses for Federal Employees“. ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3510.

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Work-related injuries and illnesses may lead to absenteeism, which affects the level of productivity. The purpose of this study was to determine the success of an employee workplace training program on work-related injury and illness rates at selected federal districts within a federal organization. Newman's model, which describes internal and external factors that may have an effect on an individual's health, was the framework that guided this project. A pre-post design was used to compare data from 2 publically available data sets, the Occupational Safety and Health Administration Illness and Injury and the Voice of the Employee Survey, for the years 2013 and 2014, before and after a wellness training program. According to a descriptive analysis of 91 illness and injury events that occurred during the 2-year period, the greatest number of employees who reported illnesses were mail handlers and mail processing clerks. Slips/trips and falls, strikes by machine/equipment or other objects, and repetitive motion were the top 3 types of injuries. After training, the total number of illness and injury days away from work and days of limited duty were decreased, indicating a positive impact of this workplace wellness program and a need for future training for these workers. This project has the potential to affect social change by supporting the benefits of workplace wellness in improving employee health and reducing workplace injuries at federal agencies.
46

Finck, Susan A. „Gender, management style, and decision-making of human resource managers in heath promotion and wellness programming“. Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1048381.

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This study investigated the relationship between gender, management style, and decision-making regarding wellness programming by human resource managers. From a sample of 200 members of the Society for Human Resource Management from the state of Indiana, 83 individuals participated in this study. Each participant completed the 10-item Sargent and Miller Leadership Questionnaire, and ranked, in order of importance, five possible benefit offerings (of which wellness programs was one) that their organization could offer its' employees. T-test analysis revealed that gender was not an indicator of management style preference, nor was it an indicator of the perceived importance of wellness/health promotion programs. Although gender did not show any relevance to management style or the support of wellness programs, the use of correlational analysis did reveal a slight correlation between management style and the support for wellness programs.
Fisher Institute for Wellness
47

Kolo, Vuyiswa Felicia. „A framework for management participation in HIV and AIDS intervention programmes: the Chris Hani District Municipality case“. Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/15345.

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South Africa is one of the countries in the world with the highest number of people living with HIV/AIDS. Workplace HIV/AIDS programmes have been singled out by the Government as one of the measures to fight against the spread of the disease. However, it is quite concerning that managers in most organisations are very reluctant to actively participate in the programmes. One of such organisations is the Chris Hani District Municipality. Reluctance by managers to participate in these programmes has given rise to effects such as lower level employees also not willing to participate in the programmes; thereby undermining efforts by the municipality and the National Government as a whole to fight against the spread of the disease in South Africa. This study has developed a framework that may enable municipal managers to participate in HIV/AIDS programmes in the municipality. In addition the study has also explored factors that discourage managers from participating in HIV/AIDS programmes. The study took place in the Chris Hani municipality. The sample population was municipal managers from the different directorates. The methodological approach was quantitative. Data was collected with use of a questionnaire. The questionnaire was distributed physically and electronically by the researcher. The findings of the study show that in order for managers to actively participate in the programmes of HIV/AIDS, measures should be put place to enhance the following: self-awareness, positive attitude, effective communication, management involvement, management support, and relationship building. The researcher hopes that the study will not only enhance management participation in the Chris Hani municipality, but also other municipalities and organisations in South Africa interested in the fight against the spread of the HIV/AIDS disease.
48

Hall, Bruce A. „An assessment of human resource professionals' world view thinking and perceived personal wellness as an indicator of professional support for wellness programs in the work place“. Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1048371.

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The primary purpose of this study was to design an instrument, the Professional Support Survey (PSS), to assess one's extent of world view thinking relating to wellness programming. The secondary purpose was to use the Perceived Wellness Survey (PWS) and the PSS to determine if a relationship exists between HR professionals' personal wellness and their support for wellness programs in the work place. Face and content validity was established for the PSS, test-retest analysis confirmed significant reliability («T, = 0.9239 and «T2 = 0.9464), and a significance test found - = 0.846 and adjusted - = 0.8662. The study found that HR professionals' levels of personal wellness are reflected in their decisions to support wellness programs. Further, the more exposure HR professionals have to wellness management issues (i.e., the company having a formal program, the number of activities, and budget allocations for programming), the more likely they are to support wellness programs from a programmatic standpoint.
Fisher Institute for Wellness
49

Pratt, Bruce A. „The status of and the impact of leadership on worksite health promotion activities in the public school corporations of Indiana“. Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1221274.

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The purpose of this study was to determine the status of health promotion activities provided by Indiana public school corporations for their employees and the impact of corporation leadership on the provision of these activities. The subjects of this study were Indiana public school superintendents. All 291 superintendents were mailed the survey instrument created by the researcher for this study and there were 227 (78%) responses.The results showed that 54% of the responding Indiana school corporations provided some type of health promotion activity for employees on a corporation-wide basis. The primary reason school corporations provided health promotion activities for employees was to keep employees healthy. The major impediment in providing health promotion activities for employees was a lack of resources. School corporations in rural settings were less likely to provide health promotion activities for employees. School corporations were more likely to provide health promotion activities for employees as the number of full-time employees increased. This study also found a relationship between the importance a superintendent placed on providing health promotion activities for employees and the provision of those activities in a school corporation. As worksites, Indiana public school corporations have not met the national goals and objectives for worksites found in Healthy People 2010.
Department of Educational Leadership
50

Pruett, Angela W. „Effects of a municipal government's worksite exercise program on employee absenteeism, health care costs, and variables associated with participation“. Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-06112009-063718/.

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