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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Related Experiment Video

Updated: Apr 15, 2026

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
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A Web-based health promotion program for older workers: randomized controlled trial.

Royer F Cook1, Rebekah K Hersch, Dana Schlossberg

  • 1ISA Associates, Alexandria, VA, United States. rcook@isagroup.com.

Journal of Medical Internet Research
|April 2, 2015
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Summary

HealthyPast50, a web-based program, improved diet and exercise self-efficacy in older workers. The online intervention showed promise for enhancing health practices among adults aged 50 and older.

Keywords:
Internetexercisehealth promotionmiddle agednutritional requirements

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Area of Science:

  • Gerontology and Occupational Health
  • Digital Health Interventions
  • Behavioral Science in the Workplace

Background:

  • Workers aged 50+ face higher chronic disease risks.
  • Internet-based health promotion programs show efficacy.
  • Older workers are a key demographic for targeted health initiatives.

Purpose of the Study:

  • To evaluate the effectiveness of the HealthyPast50 web-based program.
  • To assess health practice improvements in workers aged 50 and older.
  • To utilize social cognitive theory in an automated online health promotion.

Main Methods:

  • Randomized controlled trial with 278 employees (ages 50-68).
  • Comparison between HealthyPast50 program and wait-list control.
  • Online self-report measures (diet, physical activity, stress, tobacco use) collected pre- and post-intervention; intent-to-treat analysis with multiple imputation.

Main Results:

  • Program group showed significant improvements in diet self-efficacy and planning, and mild exercise.
  • Additional significant effects found in eating practices, exercise self-efficacy/planning, and aging beliefs in complete case analysis.
  • Gender moderated exercise effects, suggesting greater impact among women.

Conclusions:

  • The HealthyPast50 web-based program demonstrates potential for short-term improvements in diet and exercise among older workers.
  • Online health promotion is a viable strategy for this demographic.
  • Program effects on exercise were more pronounced in women.