title: Implementation of a worksite wellness program targeting small businesses: the Pinnacol Assurance health risk management study.
abstract: OBJECTIVE
  To assess small business adoption and need for a worksite wellness program in a longitudinal study of health risks, productivity, workers' compensation rates, and claims costs.
  
  
  METHODS
  Health risk assessment data from 6507 employees in 260 companies were examined. Employer and employee data are reported as frequencies, with means and standard deviations reported when applicable.
  
  
  RESULTS
  Of the 260 companies enrolled in the health risk management program, 71% continued more than 1 year, with 97% reporting that worker wellness improves worker safety. Of 6507 participating employees, 34.3% were overweight and 25.6% obese. Approximately one in five participants reported depression. Potentially modifiable conditions affecting 15% or more of enrollees include chronic fatigue, sleeping problems, headaches, arthritis, hypercholesterolemia, and hypertension.
  
  
  CONCLUSIONS
  Small businesses are a suitable target for the introduction of health promotion programs.
authors.affiliation: From the Colorado School of Public Health, Center for Worker Health and Environment and Department of Environmental and Occupational Health (Drs Newman, Metcalf, and Witter, Ms Tenney), Aurora; Tri-County Health Department (Ms Stinson), Greenwood Village, Colo; Health Science Center, Peking University (Dr Fang) Beijing, China; Segue Consulting (Ms Brockbank), Denver, Colo; Integrated Benefits Institute (Dr Jinnett), San Francisco, Calif; Department of Environmental and Radiological Health Sciences (Dr Reynolds), Colorado State University, Fort Collins; Trotter Wellness (Ms Trotter), Sheboygan, Wisc; Department of Health Systems, Management & Policy (Dr Atherly), Colorado School of Public Health, Aurora; and Truven Health Analytics and Institute for Health and Productivity Studies, Johns Hopkins University, Bloomberg School of Public Health (Dr Goetzel), Bethesda, Md.
authors.forename: Lee S
authors.initials: LS
authors.lastname: Newman
authors.forename: Kaylan E
authors.initials: KE
authors.lastname: Stinson
authors.forename: Dianne
authors.initials: D
authors.lastname: Metcalf
authors.forename: Hai
authors.initials: H
authors.lastname: Fang
authors.forename: Claire vS
authors.initials: Cv
authors.lastname: Brockbank
authors.forename: Kimberly
authors.initials: K
authors.lastname: Jinnett
authors.forename: Stephen
authors.initials: S
authors.lastname: Reynolds
authors.forename: Margo
authors.initials: M
authors.lastname: Trotter
authors.forename: Roxana
authors.initials: R
authors.lastname: Witter
authors.forename: Liliana
authors.initials: L
authors.lastname: Tenney
authors.forename: Adam
authors.initials: A
authors.lastname: Atherly
authors.forename: Ron Z
authors.initials: RZ
authors.lastname: Goetzel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D015992:Body Mass Index; D003120:Colorado; D015444:Exercise; D005260:Female; D005638:Fruit; D015438:Health Behavior; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D008019:Life Style; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D018570:Risk Assessment; D012449:Safety; D012890:Sleep; D058012:Small Business / Q000706:statistics & numerical data*; D012907:Smoking; D014675:Vegetables; D017132:Workplace; D055815:Young Adult