Trial reportBMC public health2025
Effectiveness of an integrated approach for workplace health promotion on lifestyle of employees: results of a cluster randomized controlled trial.
Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Authors and funding
5 authors.
Funding
Abstract
backgroundEvidence for the effectiveness of workplace health promotion programs (WHPPs) is small to moderate. More impact can be expected from an integrated WHPP, including activities at the individual and organizational levels. Since evidence regarding the effectiveness of integrated WHPPs is scarce, the aim of this study was to evaluate the effect of an integrated WHPP on the lifestyle of employees.
methodsA two-armed cluster randomized controlled trial with measurements at baseline and at six and twelve months of follow-up was conducted. The intervention consisted of health promotion activities aimed at two (out of six) health behaviors, targeting the individual and organizational levels. The main outcome was an overall lifestyle-score measured using twelve items from the Simple Lifestyle Indicator Questionnaire. The secondary outcome measures were six separate health behaviors, i.e. physical activity, nutrition, mental balance, smoking, alcohol consumption, and sleep. Intervention effects at six and twelve months were analyzed by conducting either longitudinal linear or (ordinal) logistic multilevel analyses, or generalized estimating equations.
resultsA total of 173 employees from four Dutch organizations participated. No effect was observed for overall lifestyle. The consumption of sugary drinks was higher over time (OR: 2.4, 95%CI: 1.1-5.4) and after twelve months of follow-up (OR: 2.9, 95%CI: 1.03-8.0) for the intervention condition compared to the control condition.
conclusionsThe integrated WHPP was not effective in improving the lifestyle of employees. The short duration of employees' exposure to activities, poor implementation (i.e., not meeting the criteria of the integrated WHPP), and the minimal implemented activities may explain the absence of effect.
trial registrationLTR (onderzoekmetmensen.nl), NL9526. Registered on 3 June 2021.
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