Determinants of workplace health program participation among non,low, and incentive-achieving participants |
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Authors: | Kim Nichols Dauner Christopher R McIntosh Lin Xiu |
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Institution: | 1. Economics and Health Care Management, University of Minnesota Duluth, Duluth, Minnesota, USA;2. Management Studies, University of Minnesota Duluth, Duluth, Minnesota, USA |
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Abstract: | The authors used a cross-sectional survey and zero-inflated ordered probit modeling to investigate individual psychosocial-, interpersonal-, organizational-, and community-level determinants distinguishing nonparticipants, low-level participants, and incentive-achieving participants in a single, university-based worksite health program (WHP) that uses insurance premium reductions to incentivize participation. Results from 319 employees suggested two nonparticipant groups. Persons without employer-sponsored insurance, those with negative participation perceptions, and men were more likely to be “never” participants; those who had never met the incentive were potential future participants. Increased confidence was related to incentive achievement; stress was associated with low participation. No interpersonal, organizational, or community factors were significant. When structuring incentives, WHPs should consider determinants of participation, vis-à-vis the incentive. |
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Keywords: | Worksite health programs participation incentives zero-inflated ordered probit models |
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