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J Occup Environ Med. 2015 Jan;57(1):14-21. doi: 10.1097/JOM.0000000000000279.

Implementation of a worksite wellness program targeting small businesses: the Pinnacol Assurance health risk management study.

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From the Colorado School of Public Health, Center for Worker Health and Environment and Department of Environmental and Occupational Health (Drs Newman, Metcalf, and Witter, Ms Tenney), Aurora; Tri-County Health Department (Ms Stinson), Greenwood Village, Colo; Health Science Center, Peking University (Dr Fang) Beijing, China; Segue Consulting (Ms Brockbank), Denver, Colo; Integrated Benefits Institute (Dr Jinnett), San Francisco, Calif; Department of Environmental and Radiological Health Sciences (Dr Reynolds), Colorado State University, Fort Collins; Trotter Wellness (Ms Trotter), Sheboygan, Wisc; Department of Health Systems, Management & Policy (Dr Atherly), Colorado School of Public Health, Aurora; and Truven Health Analytics and Institute for Health and Productivity Studies, Johns Hopkins University, Bloomberg School of Public Health (Dr Goetzel), Bethesda, Md.



To assess small business adoption and need for a worksite wellness program in a longitudinal study of health risks, productivity, workers' compensation rates, and claims costs.


Health risk assessment data from 6507 employees in 260 companies were examined. Employer and employee data are reported as frequencies, with means and standard deviations reported when applicable.


Of the 260 companies enrolled in the health risk management program, 71% continued more than 1 year, with 97% reporting that worker wellness improves worker safety. Of 6507 participating employees, 34.3% were overweight and 25.6% obese. Approximately one in five participants reported depression. Potentially modifiable conditions affecting 15% or more of enrollees include chronic fatigue, sleeping problems, headaches, arthritis, hypercholesterolemia, and hypertension.


Small businesses are a suitable target for the introduction of health promotion programs.

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