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The Role of Tailored Consultation Following Health-Risk Appraisals in Employees' Health Behavior

Faghri, Pouran D. MD, MS; Blozie, Erika MS; Gustavesen, Sara MS; Kotejoshyer, Rajashree BA

Journal of Occupational and Environmental Medicine: December 2008 - Volume 50 - Issue 12 - p 1378-1385
doi: 10.1097/JOM.0b013e3181862471
Original Articles

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.

From the Department of Allied Health Sciences, University of Connecticut, Storrs, Conn.

CME Available for this Article at

Pouran D. Faghri, Erika Blozie, Sara Gustavesen, and Rajashree Kotejoshyer are employees of the University of Connecticut School of Public Health. This study was a part of ConnectiFIT worksite health promotion program supported by Center for Disease Control Cardiovascular Health Program (CDC) and the Connecticut Department of Public Health. The authors have no financial interests related to this research.

Address correspondence to: Pouran D. Faghri, MD, Department of Allied Health Sciences, 318 Koons Hall, Storrs, CT 06269; E-mail:

Copyright © 2008 by the American College of Occupational and Environmental Medicine