title: Implementation and outcomes of a comprehensive worksite health promotion program.
abstract: BACKGROUND
  This paper reports on the implementation and results of a three-year comprehensive worksite health promotion program called Take care of your health!, delivered at a single branch of a large financial organization with 656 employees at the beginning of the implementation period and 905 at the end. The program included six educational modules delivered over a three-year period. A global health profile was part of the first and last modules. The decision to implement the program coincided with an overall program of organizational renewal.
  
  
  METHODS
  The data for this evaluation come from four sources: analysis of changes in employee health profiles between the first and last program sessions (n=270); questionnaires completed by participating employees at the end of the program (n=169); organizational data on employee absenteeism and turnover; and qualitative interviews with company managers (n=9).
  
  
  RESULTS
  Employee participation rates in the six modules varied between 39% and 76%. The assessment of health profile changes showed a significant increase in the Global Health Score. Participants were significantly more likely to report more frequent physical activity and better nutritional practices. The proportion of smokers among participants was significantly reduced (p = 0.0147). Also reduced significantly between the two measurements were self-assessment of high stress inside and outside the workplace, stress signs, and feelings of depression. Employees were highly satisfied with the program and felt that it had impacts on their knowledge and capacities to manage their health behaviour. During the same period, absenteeism in the organization declined by 28% and turnover by 54%. From the organization's perspective, program implementation was very successful.
  
  
  CONCLUSIONS
  This study's results are in line with previous findings of significant benefits to organizations and employees from worksite health promotion. The close relationship between the program outcomes and the overall process of organizational renewal that it accompanied supports previous arguments that worksite health promotion will be most effective when it promotes overall organizational health.
authors.affiliation: Département de communication sociale et publique, Université du Québec a Montréal. renaud.lise@uqam.ca
authors.forename: Lise
authors.initials: L
authors.lastname: Renaud
authors.forename: Natalie
authors.initials: N
authors.lastname: Kishchuk
authors.forename: Martin
authors.initials: M
authors.lastname: Juneau
authors.forename: Anil
authors.initials: A
authors.lastname: Nigam
authors.forename: Karine
authors.initials: K
authors.lastname: Téreault
authors.forename: Marie-Claude
authors.initials: MC
authors.lastname: Leblanc
mesh_terms: D000041:Absenteeism; D003863:Depression; D015438:Health Behavior; D019538:Health Care Surveys; D006293:Health Promotion / Q000458:organization & administration*; D006304:Health Status; D006801:Humans; D009043:Motor Activity; D009752:Nutritional Status; D016272:Occupational Health; D010549:Personal Satisfaction; D016730:Program Development; D015397:Program Evaluation; D036301:Qualitative Research; D011792:Quebec; D012647:Self-Assessment; D013315:Stress, Psychological / Q000517:prevention & control; D011795:Surveys and Questionnaires; D017132:Workplace