The rising cost of healthcare has driven employers to develop effective health education and communication strategies designed to improve health outcomes. There is growing evidence for the use of computer-tailored, online behavioral health interventions. PURPOSE: To determine the effectiveness of a computer-tailored, online behavioral health intervention promoting healthy lifestyle changes. METHODS: Participants were recruited staff from a large mid-western college campus to participate in the computer-tailored wellness program. Information collected was based on epidemiological need, stage of change, motivation, self-confidence, barriers and demographics, the automated system recruits participants into follow-up behavior change interventions. Self-reported baseline and follow-up biometric, health risk behaviors, lifestyle scores, quality of health and life, motivation, and self efficacy data were analyzed using either CHI squared (χ2) for categorical variables or t tests for continuous variables. RESULTS: Of the 432 employees enrolled, 23.8% (n = 129) completed the one-year follow up health risk assessment. The participants in this study were predominately women (78%), middle-aged, white/non-Hispanic and college graduates. At 1yr follow up, body mass index (BMI) data showed proportionally fewer men in extremely obese (-5.6%), and overweight categories (-5.5%) and more men in the obese category (5.6%). Women showed little proportional change in the BMI risk category expect for the significant increase in the extremely obese category (4.6%, p<0.05). Physical activity, nutrition, weight management, skin protection and mental health were the 5 behaviors with the highest risk at enrollment and there were strong trends toward improving health in these areas at year end. The lifestyle scores indicated a significant shift towards a healthier lifestyle. However, perceived quality of health and life did not significantly change with participation. Overall motivation and self-efficacy to change risk behaviors showed a strong positive trend. CONCLUSION: Participation in the computer-tailored wellness program resulted in a moderate shift towards a healthier lifestyle. The low program retention contributed to the suboptimal program performance on risk modification.
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