Objectives: This study evaluates employees' health and lifestyle changes following health risk appraisal only and health risk appraisal with a consultation (HRAC) based on the constructs of Transtheoretical model (TTM).
Methods: Sixty employees self-selected to an HRAC or health risk appraisal only, implemented in 6-month interval. Demographics, lifestyle behavior, and stage of change (SOC) assessments based on TTM along with weight, height, body mass index, blood pressure, blood glucose, and cholesterol were measured.
Results: Second health risk appraisal showed improvements in nutrition, fitness, and overall health in both groups (P < 0.05). Significant improvements were found between HRAC group and their SOC for exercise, nutrition, and overall lifestyle. Also, group differences in SOC for exercise, amount of snack food, fruits and vegetables consumed, and physical activity (P < 0.05) were significant.
Conclusion: HRAC based on TTM constructs is effective in promoting behavior change in high-risk employees.