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Employee engagement factors that affect enrollment compared with retention in two coaching programs--the ACTIVATE
Paul E Terry1, Jinnet B Fowles, Lisa Harvey
1StayWell Health Management, St Paul, Minnesota, USA.
Population Health Management
|June 5, 2010
Summary
Enrollment and retention in worksite health programs require different strategies. Strategies to encourage participation differ from those needed to sustain engagement in health promotion initiatives.
Area of Science:
- Health Promotion
- Behavioral Science
- Clinical Trial Design
Background:
- Worksite health promotion programs aim to improve employee health behaviors and status.
- Activated consumer programs empower individuals to navigate healthcare more effectively.
- Understanding enrollment and retention is crucial for program success.
Purpose of the Study:
- To compare enrollment and retention rates between traditional worksite health promotion and activated consumer programs.
- To identify factors influencing employee enrollment and sustained participation in health initiatives.
- To analyze differences in outcomes based on program type and employee characteristics.
Main Methods:
- Randomized controlled trial involving 631 employees across two companies.
- Collected baseline survey and clinical data, followed by retention data over 18 months.
- Compared a traditional health promotion program, an activated consumer program, and a control arm.
Main Results:
- Enrollment varied by industry, smoking status, and patient activation levels.
- Retention was associated with sex, age, and industry type.
- Baseline health status was comparable, but patient activation levels differed.
Conclusions:
- Distinct strategies are necessary for encouraging initial enrollment in health programs.
- Separate strategies are required to maintain long-term participant engagement and retention.
- Tailoring interventions to employee demographics and activation status is key for effective health promotion.
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