Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study
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University of Cincinnati / OhioLINK
2013
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ndltd-OhioLink-oai-etd.ohiolink.edu-ucin13844259192021-08-03T06:20:21Z Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study Cedergren, Anders Health Education Value-based benefits design comprehensive worplace health promotion Social Cognitive Theory Employer facilitated health consumerism Mixed methods study Health education specialists Background: Health reform promotes wise consumption of health care services and engagement in health behaviors as a way to improve public health and control health care costs. This study operationalized this concept through Employer Facilitated Health Consumerism (EFHC). EFHC was measured by the incentive tier reached by an employee in a comprehensive workplace health and wellness program. This study utilized Social Cognitive Theory (SCT) in conceptualizing environmental, personal, and behavioral factors that may have an influence on EFHC. Research Questions: Is the level of EFHC related to demographics, program participation, or selected environmental, personal, and behavioral factors? The researcher also wanted to determine the level of agreement between quantitative survey results related to levels of EFHC and qualitative focus group findings concentrated on reasons for program participation. Methods: Quantitative data were collected using a valid and reliable electronic survey in addition to pre-existing data made available by the employer. Mann-Whitney and Kruskal-Wallis tests were used to look for differences between groups in the ordinal dependent variable and Spearman's correlations coefficients were run to look for associations between independent variables and the dependent variable. A multinomial logistic regression model was generated to establish how several independent variables were able to influence the odds to reaching a high level of EFHC. Multiple focus groups were conducted on-site to gather qualitative information. Group discussions were recorded and transcribed, and narratives were analyzed using constant comparison analysis. Results: Overall, eighteen independent variables were paired with EFHC in bivariate analyses. Gender, completing a physical, previously earning a program award, and behavioral capability and self-control were shown to have the strongest influence on the dependent variable. These statistical findings persisted in multivariate tests. Focus group data indicated that all SCT constructs were mentioned by employees as impacting their level of involvement in the comprehensive workplace health and wellness program. Conclusion: In this sample, a variety of demographic, environmental, personal, and behavioral factors were significantly associated with level of EFHC. Focus group data provided additional support for the use of theory when examining EFHC. The use of EFHC as a study variable needs to be replicated and further refined. Future research should emphasize random sampling to ensure generalizability and should aim to assess both direct and indirect relationships for independent variables. EFHC needs to be tested as a possible predictor of health and cost outcomes. Results from this study should help target communications and inform how specific services are offered to promote EFHC. The fact that behavioral capability and self-control were strongly associated with the dependent variable suggests that these constructs should be prioritized in behavioral interventions that seek to simultaneously impact several predictors of high levels of EFHC. 2013 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384425919 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384425919 unrestricted This thesis or dissertation is protected by copyright: some rights reserved. It is licensed for use under a Creative Commons license. Specific terms and permissions are available from this document's record in the OhioLINK ETD Center. |
| collection |
NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Health Education Value-based benefits design comprehensive worplace health promotion Social Cognitive Theory Employer facilitated health consumerism Mixed methods study Health education specialists |
| spellingShingle |
Health Education Value-based benefits design comprehensive worplace health promotion Social Cognitive Theory Employer facilitated health consumerism Mixed methods study Health education specialists Cedergren, Anders Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study |
| author |
Cedergren, Anders |
| author_facet |
Cedergren, Anders |
| author_sort |
Cedergren, Anders |
| title |
Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study |
| title_short |
Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study |
| title_full |
Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study |
| title_fullStr |
Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study |
| title_full_unstemmed |
Personal, Behavioral, and Environmental Influences on Employer Facilitated Health Consumerism among Employees of a Large Health System: A Mixed Methods Study |
| title_sort |
personal, behavioral, and environmental influences on employer facilitated health consumerism among employees of a large health system: a mixed methods study |
| publisher |
University of Cincinnati / OhioLINK |
| publishDate |
2013 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384425919 |
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AT cedergrenanders personalbehavioralandenvironmentalinfluencesonemployerfacilitatedhealthconsumerismamongemployeesofalargehealthsystemamixedmethodsstudy |
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