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Analyzing Best Practices in Employee Health Management: How Age, Sex, and Program Components Relate to Employee Engagement and Health Outcomes

Terry, Paul E. PhD; Grossmeier, Jessica PhD, MPH; Mangen, David J. PhD; Gingerich, Stefan B. MS

Journal of Occupational and Environmental Medicine: April 2013 - Volume 55 - Issue 4 - p 378–392
doi: 10.1097/JOM.0b013e31828dca09
Fast Track Article

Objective: Examine the influence of employee health management (EHM) best practices on registration, participation, and health behavior change in telephone-based coaching programs.

Methods: Individual health assessment data, EHM program data, and health coaching participation data were analyzed for associations with coaching program enrollment, active participation, and risk reduction. Multivariate analyses occurred at the individual (n = 205,672) and company levels (n = 55).

Results: Considerable differences were found in how age and sex impacted typical EHM evaluation metrics. Cash incentives for the health assessment were associated with more risk reduction for men than for women. Providing either a noncash or a benefits-integrated incentive for completing the health assessment, or a noncash incentive for lifestyle management, strengthened the relationship between age and risk reduction.

Conclusions: In EHM programs, one size does not fit all. These results can help employers tailor engagement strategies for their specific population.

From StayWell Health Management (Drs Terry and Grossmeier and Mr Gingerich), St. Paul, Minn, and Mangen Research Associates, Mound, Minn (Dr Mangen).

Address correspondence to: Stefan B. Gingerich, MS, 3000 Ames Crossing Road, Suite 100, St. Paul, MN 55121 (

No grant funding was used to support this research.

Dr Terry, Dr Grossmeier, and Mr Gingerich were/are employees of StayWell Health Management (StayWell) at the time this research was conducted. StayWell is a vendor of health management programs, whose products are evaluated in the manuscript. Dr Mangen performed work on this research as a consultant paid by StayWell Health Management.

The authors declare no conflicts of interest.

©2013The American College of Occupational and Environmental Medicine