title: The impact of two workplace-based health risk appraisal interventions on employee lifestyle parameters, mental health and work ability: results of a randomized controlled trial.
abstract: Health risk appraisals (HRA) are a common type of workplace health promotion programme offered by American employers. In the United Kingdom, evidence of their effectiveness for promoting health behaviour change remains inconclusive. This randomized controlled trial examined the effects of two HRA interventions on lifestyle parameters, mental health and work ability in a UK context. A total of 180 employees were randomized into one of three groups: Group A (HRA augmented with health promotion and education activities), Group B (HRA only) and Group C (control, no intervention). After 12 months, changes in mean scoring in 10 lifestyle, mental health and work ability indices were compared, Groups A and B demonstrated non-significant improvements in 70% and 80%, respectively, compared with controls (40%). Odds ratios revealed that, compared with the control group, Group A was 29.2 (95% CI: 9.22-92.27) times more likely to report a perceived change in lifestyle behaviour; Group B 4.4 times (95% CI: 1.65-11.44). In conclusion, participation in the HRA was associated with a higher likelihood of perceived lifestyle behaviour change which was further increased in the augmented HRA group, thereby providing preliminary evidence that HRA and augmented HRA in particular may help UK employees make positive healthy lifestyle changes.
authors.affiliation: NICS Occupational Health Service, Lincoln Building, 27-45 Great Victoria Street, Belfast BT2 7SH, Northern Ireland, Ulster Business School, University of Ulster, Newtownabbey BT37 0QB, Northern Ireland and Institute of Work, Health & Organisations, University of Nottingham, Jubilee Campus, Wollaton Road, Nottingham NG8 1BB, UK.
authors.forename: K
authors.initials: K
authors.lastname: Addley
authors.forename: S
authors.initials: S
authors.lastname: Boyd
authors.forename: R
authors.initials: R
authors.lastname: Kerr
authors.forename: P
authors.initials: P
authors.lastname: McQuillan
authors.forename: J
authors.initials: J
authors.lastname: Houdmont
authors.forename: M
authors.initials: M
authors.lastname: McCrory
mesh_terms: D000328:Adult; D005260:Female; D006266:Health Education / Q000379:methods; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D008875:Middle Aged; D016272:Occupational Health; D018570:Risk Assessment; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires; D014938:Work Capacity Evaluation; D017132:Workplace / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult