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A work-site weight control program using financial incentives collected through payroll deduction.

J L Forster, R W Jeffery, S Sullivan

    Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
    |November 1, 1985
    PubMed
    Summary
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    Financial incentives in a worksite weight control program motivated employees toward weight loss goals. Attendance at weigh-ins and educational sessions positively impacted results, but mandatory attendance was not more effective.

    Area of Science:

    • Occupational Health
    • Behavioral Science
    • Weight Management

    Background:

    • Worksite wellness programs are crucial for employee health.
    • Financial incentives can motivate participation in health programs.
    • Previous studies show varied effectiveness of worksite weight control interventions.

    Purpose of the Study:

    • To evaluate a worksite weight control program using financial incentives.
    • To compare different motivational and instructional strategies.
    • To assess the impact of attendance requirements on program outcomes.

    Main Methods:

    • 131 university employees participated in a 6-month program.
    • Financial incentives were deducted from payroll, contingent on weight loss progress.

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  • Participants were randomized into four groups varying in educational sessions (group vs. self-instruction) and attendance requirements (required vs. optional).
  • Main Results:

    • Overall dropout rate was 21.4% with an average weight loss of 12.2 lb.
    • Weight loss correlated positively with attendance at weigh-ins and educational sessions.
    • Requiring attendance did not enhance effectiveness and discouraged male enrollment; program effectiveness was similar for group sessions and self-instruction.

    Conclusions:

    • Worksite weight control programs with financial incentives can be effective.
    • Flexible attendance policies may improve engagement, particularly for men.
    • Self-instructional materials can be as effective as professionally led sessions.