External Validity and Worksite Wellness: Lessons From China and Illinois.

American Journal of Health Promotion : AJHP
Paul E Terry

Abstract

This editorial describes recent randomized controlled trials of worksite wellness interventions and argues that fidelity to intervention designs should be contingent on careful consideration of internal and external validity. A China based hypertension management study which achieved impressive outcomes across 60 workplaces using a comprehensive approach is contrasted with the traditional wellness practices employed in other randomized controlled trials conducted in America. Why studies with negative findings receive more media and professional scrutiny than studies with positive findings is discussed. Three reasons are posited for why bad is stronger than good when it comes to capturing attention. Adoption of new evidence is discussed along with what health promotion professionals can do to advance best practices by considering adoption as an ongoing process.

References

Jun 1, 1977·Preventive Medicine·A Foote, J C Erfurt
Aug 26, 2014·Journal of Occupational and Environmental Medicine·Ron Z GoetzelR Douglas Metz
Feb 21, 2019·American Journal of Health Promotion : AJHP·Paul E Terry
Apr 17, 2019·JAMA : the Journal of the American Medical Association·Zirui Song, Katherine Baicker
Mar 5, 2020·JAMA Cardiology·Zengwu WangUNKNOWN China Hypertension Survey Group: The Standardized Management of Hypertensive Employees Program
Mar 14, 2020·American Journal of Health Promotion : AJHP·Paul E Terry

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