The effectiveness and cost-effectiveness of a rural employer-based wellness program

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Shadi S SalehAnn Morgan

Abstract

The cost-effectiveness of employer-based wellness programs has been previously investigated with favorable financial and nonfinancial outcomes being detected. However, these investigations have mainly focused on large employers in urban settings. Very few studies examined wellness programs offered in rural settings. This paper aims to explore the effectiveness and cost-effectiveness of a rural employer-based wellness program. Six rural employers were categorized into 3 groups: a control group and 2 intervention groups with varying degrees of wellness activities. Participants were asked to complete an annual health risk assessment (HRA) that addressed 16 wellness areas. At the conclusion of 4 years, HRA and effectiveness data were utilized to examine program effectiveness and combined with program costs to estimate cost-effectiveness. The "Coaching and Referral" group-the highest in intensity of participant engagement-exhibited superior improvement in several wellness areas and in percentage of employees with good health indicators compared to the control and the Trail Marker, lower-intensity intervention groups. However, the Trail Markers had more favorable cost-effectiveness ratios. Rural worksite wellness programs have shown ...Continue Reading

References

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Citations

Jan 15, 2014·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·Ruth Q WoleverNancy Yang
May 6, 2015·Progress in Cardiovascular Diseases·Lawrence P CahalinRoss Arena
Jan 25, 2013·Health Promotion Practice·Laurel B WittElizabeth Ablah

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