title: Effectiveness of a worksite lifestyle intervention on vitality, work engagement, productivity, and sick         leave: results of a randomized controlled trial.
abstract: OBJECTIVE
  A worksite lifestyle intervention aiming to improve lifestyle behaviors could be an effective         tool to keep older workers vital, and thereby prolong their labor participation. Therefore, this study evaluates the         effectiveness of such an intervention on vitality, work engagement, productivity and sick leave.
  
  
  METHODS
  In a         randomized controlled trial design, 367 workers (control group: N=363) received a 6-month intervention, which included         two weekly guided group sessions: one yoga and one workout, as well as one weekly session of aerobic exercising,         without face-to-face instruction, and three individual coach visits aimed at changing workers' lifestyle behavior         by goal setting, feedback, and problem-solving strategies. Furthermore, free fruit was provided at the guided sessions.         Data on work-related vitality (UWES vitality scale), general vitality (RAND-36 vitality scale), work engagement (UWES),         productivity (single item scoring 0-10), and sick leave (yes/no past 3 months) were collected using         questionnaires at baseline (N=730), and at 6- (N=575) and 12-months (N=500) follow-up. Effects were analyzed according         to the intention-to-treat principle with complete cases (N=500) and imputed data (N=730).
  
  
  RESULTS
  There were no         significant differences in vitality, work engagement, productivity, and sick leave between the intervention and control         group workers after either 6- and 12-months follow-up. Yoga and workout subgroup analyses showed a 12-month favorable         effect on work-related vitality [β=0.14, 95% confidence interval (95% CI) 0.04-0.28] and general vitality         (β=2.9, 95% CI 0.02-5.9) among high yoga compliers. For high workout compliers, this positive trend was also         seen, but it was not statistically significant.
  
  
  CONCLUSIONS
  Implementation of worksite yoga facilities could be a         useful strategy to promote vitality-related work outcomes, but only if high compliance can be maximized. Therefore,         impeding factors for participation should be investigated in more detail in future research.
authors: Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
authors: Jorien E
authors: JE
authors: Strijk
authors: Karin I
authors: KI
authors: Proper
authors: Willem
authors: W
authors: van Mechelen
authors: Allard J
authors: AJ
authors: van der Beek
mesh_terms: D000046:Academic Medical Centers; D004526:Efficiency; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D018582:Sick Leave; D012959:Socioeconomic Factors; D017132:Workplace