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Factors for adherence to a physical activity promotion program in the workplace: a systematic review
Quentin Grimaud1, Lucie Malloggi2,3, Leila Moret2,3
1Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital (CHU), Nantes, France.
BMC Public Health
|May 17, 2025
Summary
Promoting physical activity (PA) in the workplace requires understanding adherence factors like individual motivation and work environment. Coach-supervised programs show greater effectiveness for employee health benefits.
Area of Science:
- Occupational Health
- Public Health
- Behavioral Science
Background:
- Physical activity (PA) offers proven health benefits, making workplace promotion a public health priority.
- Employee adherence remains a significant challenge in workplace PA initiatives.
Purpose of the Study:
- To systematically review factors influencing adherence to workplace PA promotion programs.
- To identify key determinants for successful employee engagement in PA initiatives.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) and clinical trials.
- Searched four databases (PubMed, Web of Science, Cochrane CRCTs, PsycInfo) from 2000 to June 2024.
- Analyzed over 9000 publications, focusing on 91 retrieved studies.
Main Results:
- Identified adherence factors: individual baseline PA, health, motivation; intervention individualization; and work environment quality.
- Compared non-supervised PA programs (NSPAPs) and supervised, tailored programs (SPAPs).
- Both program types demonstrated significant health benefits with varying effect sizes.
Conclusions:
- Assessing adherence factors is crucial before implementing workplace PA programs.
- Coach-supervised PA programs (PAPs) based on RCTs are generally more effective than complex NSPAPs.
- Management support, work organization, and long-term follow-up are vital for sustained adherence and health outcomes.
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