title: The role of tailored consultation following health-risk appraisals in employees' health behavior.
abstract: OBJECTIVE
  This study evaluates employees' health and lifestyle changes following health risk appraisal only and health risk appraisal with a consultation (HRAC) based on the constructs of Transtheoretical model (TTM).
  
  
  METHODS
  Sixty employees self-selected to an HRAC or health risk appraisal only, implemented in 6-month interval. Demographics, lifestyle behavior, and stage of change (SOC) assessments based on TTM along with weight, height, body mass index, blood pressure, blood glucose, and cholesterol were measured.
  
  
  RESULTS
  Second health risk appraisal showed improvements in nutrition, fitness, and overall health in both groups (P < 0.05). Significant improvements were found between HRAC group and their SOC for exercise, nutrition, and overall lifestyle. Also, group differences in SOC for exercise, amount of snack food, fruits and vegetables consumed, and physical activity (P < 0.05) were significant.
  
  
  CONCLUSIONS
  HRAC based on TTM constructs is effective in promoting behavior change in high-risk employees.
authors.affiliation: Department of Allied Health Sciences, University of Connecticut, Storrs, Conn 06269, USA. Pouran.Faghri@uconn.edu
authors.forename: Pouran D
authors.initials: PD
authors.lastname: Faghri
authors.forename: Erika
authors.initials: E
authors.lastname: Blozie
authors.forename: Sara
authors.initials: S
authors.lastname: Gustavesen
authors.forename: Rajashree
authors.initials: R
authors.lastname: Kotejoshyer
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D003376:Counseling; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D016272:Occupational Health; D009786:Occupational Health Services / Q000379:methods*; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D011795:Surveys and Questionnaires; D055815:Young Adult