Objectives: The purpose of this secondary data analysis was to examine "stage of change" as a predictor of attrition among participants in a worksite wellness program. A Conceptual Model of Attrition was developed to examine health screening, health risk appraisal (HRA), and demographic predictors of attrition as well. Methods: Data for this study were drawn from a worksite wellness program which was sponsored by an integrated rural healthcare system. The sample consisted of 1058 individuals for whom valid demographic, health screening, and HRA data were available. Of the total sample, 414 did not participate in a subsequent year (39.1% attrition). This research was conducted as a predictive correlational study using binary logistic regression analysis. Results: Significant associations between stage of change and attrition were found for the physical activity, nutrition, weight, stress, and overall healthy lifestyle health behavior areas. The stage of change with the highest odds of attrition was the preparation stage across these health behavior areas. In the Conceptual Model of Attrition, significant associations with attrition were found for emotional symptoms, emotional health limitations, health view, and overall healthy lifestyle stage of change. Conclusions: This research has shown that the stage of change construct is useful for predicting attrition. Identification of participants' stage of change offers a leverage point for engagement in worksite wellness programs and for prevention of program attrition. For employers, retention of these employees in their worksite wellness program could yield a greater return on investment resulting in lower health care costs, fewer missed work days, and higher productivity on the job.
|Commitee:||Atav, A. Serdar, Gallant, Mary, Hohensee, Thomas|
|School:||State University of New York at Albany|
|School Location:||United States -- New York|
|Source:||DAI-B 75/08(E), Dissertation Abstracts International|
|Subjects:||Occupational health, Public health, Epidemiology|
|Keywords:||Attrition, Health promotion, Predictors, Stage of change, Transtheoretical model, Worksite|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be