Low Participation Rates Research Articles

Collaborative visits by hospital specialist nurses with homecare nurses: A nationwide, cross-sectional, web-based survey

Objective: Hospital-based specialist nurses (clinical nurse specialists and certified nurses) are increasingly conducting patient home visits along with homecare nurses due to the increasing necessity of home care for persons with multiple medical needs. However, not much is known about such visits. Thus, this study examines collaborative visits by specialist nurses. Methods: A web-based questionnaire survey was sent to specialist nurses in Japan specializing in (1) wound care, (2) cancer palliative care, and (3) chronic disease care. Multiple logistic regression analyses were performed to identify the factors involved in collaborative visits, focusing not only on the individual but also on hospital/community characteristics. Results: Data from 1,027 specialist nurses were analyzed. Among them, 45.6%, 21.4%, and 18.3% of wound care, cancer palliative care, and chronic disease nurses, respectively, conducted collaborative visits. For nurses specializing in wound and cancer palliative care, holding managerial positions was associated with providing collaborative visits. Wound care nurses from hospitals in municipalities with fewer hospital beds per capita tended to conduct collaborative visits, whereas cancer palliative nurses in communities with a higher aging rate provided more collaborative visits. For chronic disease nurses, more working hours as specialists, lower participation rates in community-based multidisciplinary gatherings, and working in hospitals with open community consultation services promoted collaborative visits. Conclusions: Hospital and community factors are associated with collaborative visits, suggesting a need for hospital-wide and policy-supported efforts to further increase collaborative visits.

Study Protocol of Cardiac Rehabilitation for Acute Myocardial Infarction From the JROAD/JROAD-DPC Database - JROAD-CR.

Background: Although cardiac rehabilitation (CR) has been reported to be effective for improving the prognosis of acute myocardial infarction (AMI), more patients must participate in CR during admission and as outpatients. Factors contributing to, and countermeasures against, the low CR participation rate need to be identified. Here we describe the protocol for a study designed to evaluate the effectiveness and problems of CR for AMI from the Japanese Registry of All Cardiac and Vascular Diseases (JROAD) and the JROAD-Japanese Diagnosis Procedure Combination system (JROAD-DPC) database. Methods and Results: This is a multicenter retrospective cohort study that will use the JROAD/JROAD-DPC database to evaluate the effectiveness of CR for AMI (JROAD-CR). Five thousand patients with AMI who were admitted to hospitals registered in the JROAD database in 2014 will be investigated with regard to their baseline characteristics, AMI severity and treatment, examination results, history of CR, and prognosis up to 5 years. We will also investigate the presence, quantity, and quality of CR, and evaluate the effectiveness of CR with respect to cost, exercise tolerance, and prognosis during admission and follow-up. Conclusions: The JROAD-CR study will seek to reveal the effectiveness of CR for AMI in the era of early reperfusion therapy and shortened hospitalization.

Participation in extracurricular leisure activities among primary school pupils: Effects of ethnic-cultural background, gender and school diversity

Participation in sports and other leisure activities can be an effective tool to enhance feelings of societal belongingness and inclusion among minority group members. Through a survey administered to 8,444 pupils, the present study compared minority pupils’ (Middle Eastern and Eastern European youth) and majority pupils’ involvement in a broad array of sport activities, other (non-sports) extracurricular leisure activities, and youth organizations. Corroborating previous research, our study revealed lower participation rates for minority (compared to majority) pupils for all categories of leisure activities under study. For sport activities, this gap was particularly pronounced for female (compared to male) pupils. Furthermore, school diversity had an invariable negative effect on participation rates in all activity categories. A noteworthy finding was that the difference in participation between majority and ethnic-cultural minority groups were sports dependent. We also obtained definite differences in participation rates between the Middle Eastern and Eastern European groups.

Are ethnic employment penalties mitigated in deprived neighbourhoods and in ethnically dense neighbourhoods?

AbstractExisting research has extensively documented that those living in the most deprived neighbourhoods and individuals from some ethnic minority groups have low rates of labour market participation in the United Kingdom. This paper brings together these two established areas of research to ask whether ethnic minority groups have better employment participation when living in more deprived neighbourhoods. We hypothesise that this could be due to different socialisation processes enabling ethnic minorities to secure employment more easily in deprived neighbourhoods as well as in neighbourhoods where there is greater ethnic density. Data from the United Kingdom Household Longitudinal Study in England are linked to the Index of Multiple Deprivation 2014 and the 2011 Census to model unemployment and economic inactivity between 2009 and 2019 separately for women and men. The results show that some ethnic minority groups face disadvantage in the labour market, especially Pakistani and Bangladeshi women. There is little support to suggest that these penalties are lessened in more deprived neighbourhoods or in more ethnically dense neighbourhoods. There is some suggestion that groups who do not face ethnic penalties compared with the White British group have lower rates of unemployment and economic inactivity in more deprived neighbourhoods. We suggest policies aimed at improving labour market outcomes for disadvantaged ethnic minorities should target them wherever they live.

Barriers to enrollment in a pediatric critical care biorepository.

Individuals of minority race/ethnicity have lower rates of participation in genomic research. This study evaluated sociodemographic characteristics associated with decisions to enroll in a pediatric critical care biorepository. Parents of children admitted to the PICU between November 2014 and May 2017 were offered to enroll their child in a biorepository using a single-page opt-in consent. Missed enrollment was assessed by failure to complete the form or declining consent on the form. We conducted a retrospective chart review for sociodemographic and clinical information. Bivariate and multivariable regression analyses were performed. In 4055 encounters, representing 2910 patients with complete data, 1480 (50%) completed the consent form and 1223 (83%) enrolled. We found higher odds of incomplete consent for non-English-speaking parents (OR = 2.1, p < 0.0001) and parents of children of all races except non-Hispanic white (OR = 1.27-1.99, p < 0.0001). We found higher odds of declined consent in patients with Medicaid (OR = 1.67, p = 0.003) and parents of children of all races except non-Hispanic white (OR = 1.32-2.9, p < 0.0001). Inability to enroll patients in a critical care biorepository may be associated with several sociodemographic factors at various points in recruitment/enrollment. Individuals of minority race/ethnicity are less likely to enroll in genomic research and in critical care research. This study evaluated sociodemographic characteristics associated with decisions to enroll a child in a pediatric critical care biorepository. Sociodemographic factors including race/ethnicity, primary language, and insurance status and patient clinical characteristics are associated with differential enrollment into a pediatric critical care biorepository. More research is needed to understand how study team-participant interactions may play a role in differential enrollment. Barriers to enrollment occur both at the time of approaching and consenting for enrollment.

Correlation between Loa Loa Infestation Prevalence and Eosinophil Rate among Population of Obout, Centre Region of Cameroon

Background: Loiasis remains a major public health concern in sub-Saharan Africa (SSA) such as Cameroon. In Cameroon, the prevalence of loiasis varies from one geographical area to another. This study aimed to assess the correlation between Loa loa infestation prevalence and eosinophil rate among population of Obout, centre region of Cameroon. Methods: A cross-sectional and correlational study was conducted in Obout locality situated in Centre region of Cameroon from June to July 2022. Data were collected using a face-to-face interview questionnaire from participants attending the Christ Roi Medical Centre of Obout (CRMCO). In each participant, a venous blood sample was taken in an EDTA tube after informed consent was obtained. A Full blood count (FBC) and a blood smear were performed on each blood sample. The collected data were recorded in an Excel version 2016 sheet and analysed by statistical package for the social sciences (SPSS) v. 24 software. For any value of p˂0.05, the results were considered statistically significant. Results: A total of 65 participants were enrolled in this study with a median age of 35 years (Interquartile Range [IQR]: 18-52). The prevalence of Loa loa infestation was 15.38% (95%CI: 7.63%–26.48%) with a high prevalence for males (33.33%) versus (vs.) 2.63% for females (OR= 18.50; 95%IC: 2.17–157.46, p=0.002). Similarly, a high prevalence of Loa loa infestation in participants aged ≥35 years or 27.27% (OR=0.08; 95%IC: 0.01–0.72, p=0.01). Concerning the duration in the locality, the participants with ≥10 years in the locality were more infested with 8.33% for those less than 10 years (p=0.15). Furthermore, the current study shows a positive correlation but weak between eosinophil rate and intensity of Loa loa infestation (r=0.3406; p=0.3). Conclusion: This study reported a high prevalence of Loa loa microfilaria in Obout locality with statistically significant differences for gender and age. However, no association was found between eosinophil and microfilarial load. Despite the low participation rate, Obout locality remains an area of high endemicity for Loa loa microfilaria.

Reducing Barriers to Care in Screening Mammography Among Underserved Populations Through a Quality Improvement Approach.

Health care quality and access are estimated to influence 20% of the variability in clinical outcomes, whereas social determinants of health, such as education, race, and income, are estimated to influence up to 50% [1]. Social determinants of health play a significant role in breast cancer outcomes among racial and ethnic minorities, with literature demonstrating historically lower participation rates in screening mammography (SM) among Black people and persistently lower rates among Hispanic, Latina, and Asian women today, resulting in worse outcomes due to advanced stage at the time of presentation [2,3].

Correlation between the Number of MSMEs and the Growth of the Workforce with the Regression Analysis Model

Unemployment at a young age is influenced by the Labor Force Participation Rate ( TPAK ). In addition, the Labor Force Participation Rate is also very influential on the economy in Indonesia. The thing that affects this TPAK is the ability of the region to create or produce jobs. Expansion of employment opportunities is also expected from the government to overcome this low Labor Force Participation Rate. Expansion of employment opportunities can be done by creating/developing programs that can support the hard skills and soft skills of the work force. The government can provide certified skills training that is recognized by companies. The government should encourage more young entrepreneurs to establish MSMEs (Micro, Small and Medium Enterprises) so that new job opportunities are also more open. The Covid-19 pandemic has made MSMEs play an important role in Indonesia's GDP with a contribution that reaches 61% and is able to absorb 97% of the workforce from the total absorption of the national workforce. Specifically for the City of Padang, based on the results of simple linear regression analysis, it was found that there is a strong relationship between the variable number of labor force and the number of MSMEs in Padang City where the conclusion of the regression statistics for multiple R is 0.82 which indicates that the independent variable (number of labor force) has a strong relationship with the dependent variable (number of SMEs). Based on the results of this simple linear regression test, it was found that R Square was worth 0.67. This shows that the resulting regression equation can be said to represent the existing conditions where y = 334333.21 - (0.67 * number of labor force). This can be seen from the R square value which is greater than 0.5 and close to 1

The impact of diabetes on cancer detection during the prevalence round of a national screening program for colorectal cancer.

Diabetes is associated with a higher risk of colorectal cancer (CRC) and inferior survival after CRC. Screening may enable the early detection of CRC. We aimed to assess the impact of diabetes on cancer detection and disease stage during the prevalence round of a national CRC screening program. We performed a register-based cohort study based on the randomized procedure for inviting Danish residents aged 50-74 years to the prevalence round of national CRC screening program in 2014-2017. By comparing the random half of the population who had been invited by 1 May 2016 with the not yet invited half, the effect of screening was assessed by the detection of CRC and disease stage among individuals with and without diabetes. Further, the impact of diabetes on the screening participation rate was calculated. By randomisation, 504,673 individuals had been invited to the CRC screening by 1 May 2016, and 549,359 individuals had not yet been invited. The diabetes prevalence was 10% in both groups. When comparing those not yet invited to those invited, the effect of screening on the number of detected cancers per 100,000 individuals was higher in those with diabetes (from 207 to 494 cancers) than in those without diabetes (from 147 to 364 cancers), and screening resulted in overall higher proportions of stage I cancer. Among those invited to screening, the participation rate was 9.1% lower (95% CI: 8.7%-9.5%) in individuals with versus without diabetes. Despite a lower participation rate, the effect of CRC screening was higher in individuals with diabetes.

Determinant Factors of Post-Partum Contraception among Women during COVID-19 in West Java Province, Indonesia.

One of the manifestations of family development is pregnancy planning, where this method is applied 0-42 days after childbirth. Post-partum contraception is an effort to avoid pregnancy by using contraceptive medicine from 42 days to 84 days after childbirth. This research aims to analyze the attitudes of fertile couples who use contraceptive devices after childbirth during the COVID-19 pandemic and the factors that influence it. This research uses a quantitative method approach. The sampling technique was random sampling with proportional sampling so that 280 respondents were obtained from 3 regencies/cities in West Java with high fertility rates and low post-partum contraceptive participation rates. Quantitative data analysis used univariate, bivariate, and multivariate methods. The results showed that the final model of the analysis of the most determining factors for post-partum contraception during a pandemic were family support, healthcare staff support, counselling with healthcare staff, attitudes, and age at first marriage. Fertile couples with the highest amount of family support are more likely to use post-partum contraceptive devices during COVID-19. The results of this study can be used as material for consideration in making decisions about post-partum contraception, especially during the COVID-19 pandemic.

Adherence to Cervical Cancer Screening Programs in Migrant Populations: A Systematic Review and Meta-Analysis.

Organized cervical cancer screening programs to promote the early identification of precancerous lesions have proven to be effective in decreasing the burden associated with cervical cancer, but knowledge regarding screening adherence among migrant women compared to that of native women has not been summarized. A systematic search of the literature on PubMed, Scopus and Embase led to the identification of 772 papers that were published up to July 2022 and reported population-based data regarding adherence to cervical screening. The screening participation rates among migrant women, compared to native women, were pooled using a random-effects meta-analysis. A total of 18 papers were included in the review, with most of them being conducted in Europe (83.3%). Overall, migrants showed a significantly lower participation rate compared to native women (OR for screening adherence: 0.54, 95% CI = 0.42-0.70). This discrepancy was especially evident for migrant women from North Africa and Sub-Saharan Africa (OR = 0.47, 95% CI = 0.35-0.63, and OR = 0.35, 95% CI = 0.24-0.49, respectively). The results of this systematic review emphasize the importance of increasing cervical cancer screening adherence among migrant women. A significant heterogeneity in screening adherence was observed based on the country of origin. Interventions aimed at reducing the disparities in screening participation should specifically consider how to improve the recruitment of migrant women.

Implementation evaluation of mhealth interventions in the secondary prevention of coronary artery disease: a supplementary review

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): La Trobe University Introduction mHealth technologies have evolved rapidly in recent years and are now widely implemented for the secondary prevention of coronary artery disease (CAD). While there is increasing evidence of their effectiveness, there are significant knowledge gaps concerning their reach, adoption, implementation, and maintenance. Purpose This study evaluates internal and external validity dimensions of mHealth-enabled cardiac disease management programs (DMPs) using elements of Glasgow’s RE-AIM (Reach-Effectiveness-Adoption-Implementation-Maintenance) Framework. It is a supplementary review to a systematic review and meta-analysis which evaluated effectiveness. Methods From the 27 studies reviewed for the previous systematic review on effectiveness, a citation search was performed to identify additional publications reporting on elements of reach, adoption, implementation, and maintenance. All eligible publications were independently coded by two team members using the 23-item RE-AIM extraction tool and analysed using mixed-methods to ascertain the reporting of these elements. Results In total, 35 publications were included in the analysis, 27 from the previous systematic review and 8 supplementary publications. The items for the Reach dimension indicated participant participation rates ranging between 18% to 67%, and used a wide range of exclusion criteria, relating to mental and cognitive impairment (37%), physical impairments (41%) and language issues (26%). Most (44%) interventions were solely home-based with nurses being the main health professionals delivering the intervention (adoption items). The implementation and maintenance items showed intervention duration of between 4-52 weeks (median 24 weeks) with intervention follow-up of between 1-48 months (median 6 months). Conclusions This review found great heterogeneity in the duration and follow-up of mHealth-enabled DMPs for patients with CAD, with low participation rates suggesting access barriers. Addressing RE-AIM dimensions in the evaluation of mHealth-enabled cardiac DMPs for patients with CAD is critically important for identifying factors affecting the reach, adoption, implementation, and maintenance of interventions in order to improve translation of research evidence into practice for patients, clinicians and health service organisations.

Electric vehicle batteries alone could satisfy short-term grid storage demand by as early as 2030

The energy transition will require a rapid deployment of renewable energy (RE) and electric vehicles (EVs) where other transit modes are unavailable. EV batteries could complement RE generation by providing short-term grid services. However, estimating the market opportunity requires an understanding of many socio-technical parameters and constraints. We quantify the global EV battery capacity available for grid storage using an integrated model incorporating future EV battery deployment, battery degradation, and market participation. We include both in-use and end-of-vehicle-life use phases and find a technical capacity of 32–62 terawatt-hours by 2050. Low participation rates of 12%–43% are needed to provide short-term grid storage demand globally. Participation rates fall below 10% if half of EV batteries at end-of-vehicle-life are used as stationary storage. Short-term grid storage demand could be met as early as 2030 across most regions. Our estimates are generally conservative and offer a lower bound of future opportunities.

Respiratory health and its determinants among Nunavimmiut: results from the Qanuilirpitaa? 2017 Nunavik Health Survey

ObjectivesRespiratory diseases are the leading cause of hospitalization in Nunavik (northern Québec, Canada) and contribute to disparities in life expectancy with the rest of Canada. As part of Qanuilirpitaa? 2017, a cross-sectional population-based health survey, we sought to describe the prevalence of respiratory health indicators, including the first estimate of airway obstruction based on spirometry in an Inuit population, and explore their associated characteristics.MethodsWe analyzed data from 1296 participants aged 16 years and older, using multivariate logistic regression to assess characteristics associated with spirometry-determined airway obstruction and self-reported respiratory symptoms, i.e., wheezing in the last year and chronic cough during at least 3 months.ResultsIn this relatively young population (83% aged 16 to 54), the prevalences of wheezing, chronic cough, and airway obstruction were, respectively, 27% (95% CI 24–30), 21% (18–23), and 17% (14–20). These estimates are prone to biases due to the relatively low participation rate (about 37%). The most consistent associations were with smoking (≥ 15 pack-years; odds ratio [OR] 3.13, 3.39, and 2.86 for the three indicators, respectively) and food security (OR 0.55 with wheezing and OR 0.26 with chronic cough), as defined in the Household Food Security Survey Module. Wheezing was also associated with allergic sensitization to dogs (2.60) and obesity (2.18). Chronic cough was associated with respiratory infections during childhood (2.12), housing in need of major repairs (1.72), and housing crowding (1.50), and was negatively associated with participation to traditional activities (0.62) and going on the land (0.64). Airway obstruction was associated with being underweight (3.84) and post-secondary education (0.40). Among young adults and women, wheezing was also associated with any inhalation of solvents for recreational purposes during their lifetime (2.62 and 1.56, respectively), while airway obstruction was associated with regular marijuana use (2.22 and 1.84, respectively).ConclusionSmoking and food insecurity are both highly prevalent and strongly associated with respiratory symptoms in Nunavik. Together with essential smoking prevention and cessation programs, our findings suggest that solving food security and housing crises, improving socioeconomic conditions, and promoting traditional lifestyle may improve respiratory health in Nunavik.

Barrier profiles in workplace health promotion in Germany.

Lay SummaryWorkplace health promotion (WHP) is often faced with low-participation rates despite high relevance. This limits the potential for creating positive effects for the organization and its staff. Therefore, we investigated the barriers perceived by employees themselves using a representative sample (regarding age, gender and education) in Germany. Data were collected using a quantitative online questionnaire and then analyzed regarding underlying patterns. We found that there are different barrier types, and their importance differs depending on demographic criteria of the participants and the organizations they work for. These results can help organizations to reduce participation barriers to WHP for their staff.

An evaluation of the IB career-related programme implementation in Kent, UK

ABSTRACT This study evaluates the implementation of the International Baccalaureate (IB) Career-Programme (CP) in secondary schools in Kent, United Kingdom. Launched by the IB and Kent County Council in 2012, the initiative offered students from disadvantaged areas the opportunity to participate in a programme to prepare them for future careers and/or higher education. A mixed method design was adopted to investigate the CP’s impact on student outcomes and to identify successful implementation strategies. IB examination data and schools register data from 379 CP graduates were analysed in addition to interview data and online surveys (302 current CP students from 31 schools). Analysis of the interviews and surveys with IB coordinators and teachers suggest that the CP, with its focus upon local knowledge, civic responsibility and personal growth, has successfully inspired students and teachers. Successful strategies include capacity building, dedicated leadership, and collaboration between teacher teams and schools. The results demonstrate that the CP improved participation in higher education for students in a region that historically had low participation rates. The CP should therefore be of interest to policymakers and programme implementers at the national and international level with respect to inclusion and wider participation of students from more disadvantaged backgrounds.

The Early Rise of Female Consciousness and Long-Term Female Labor Force Participation

In traditional culture, the gender concepts of “men dominating outside the home and women dominating inside the home” have a profound impact on the orientation of female social roles. The intergenerational transmission of these concepts may be an important reason for the low rate of contemporary female labor force participation (FLFP). Based on the publication of female periodicals during the period of the late Qing Dynasty and the Republic of China and the survey data of China Family Panel Studies in 2010, this article finds that the awakening of early female independent consciousness and the breaking of feudal gender concepts are conducive to improving the employability of contemporary women. Research results show that FLFP rate is generally higher in regions where more female periodicals are issued from 1840 to 1949. The reason may be that the general promotion of female human capital and intergenerational transmission of concepts of equality may have important explanatory power as well as enhancement of marital quality. This article provides new evidence for the role of attitudes for local development stated by Max Weber.

New South Wales sheep producers’ perceptions regarding lamb mortality and the adoption of pregnancy scanning

Context Proven strategies to address lamb mortality include pregnancy scanning and the differential management of single- and twin-bearing ewes. However, current adoption rates of this best-practice management by Australian producers remain low at ~20%. Aims We explored producer perceptions about lamb mortality and the adoption of pregnancy scanning, and analysed whether producer characteristics, demographics, beliefs or management practices have an influence on perceptions towards pregnancy scanning or lamb survival. Methods Data were collected through an on-line self-administered survey of lamb producers in New South Wales, Australia. Descriptive and inferential statistics were used to summarise the data and test for interdependence of variables. Key results The survey results revealed that New South Wales sheep producers have low participation rates in extension programs and low engagement in record-keeping practices. Only 4% of respondents considered current lamb mortality rates acceptable and the majority agreed that lamb mortality poses a threat to Australia’s sheep industry. Findings identified numerous significant relationships between producer characteristics, demographics, beliefs, management practices, non-participation in extension programs, and perceptions towards pregnancy scanning, lamb mortality and sheep welfare. Survey participants were more likely to have adopted pregnancy scanning if they had participated in extension programs. Conclusions Further extension efforts should be focused on producers who have not adopted any record-keeping practices or previously participated in extension programs. Extension should be tailored to different enterprises, owing to the influence of enterprise focus on beliefs, while also considering producer demographics. Implications A strong case exists for continued investment in future marketing, education, and research, development and extension to increase the capacity of Australia’s sheep industry and, in particular, to increase the adoption of pregnancy scanning.

Participation in Volunteer and Lifelong Learning Activities among Older Persons in Romania

The aim of this article is to assess the level of involvement of Romanian older persons in volunteer activities and lifelong learning, as well as the factors that restrict their participation. To respond to this objective, a survey among older persons (65 years and over) was conducted at national level. Our study reveals that Romanian older persons reported a very low participation rate in volunteer activities organized by different organizations and the main reason was the lack of information regarding the availability of such activities in the community where they live or the poor health status. Regarding the participation in volunteer activities people aged 75-84, men or respondents living in rural areas have the highest rates of participation. In case of older persons enrolled in lifelong learning courses, less than ten percent of respondents selected at least one course they attended over the last 12 months. Male respondents had a higher participation rate compared to women in healthy lifestyle courses. The results of our study highlight the need for appropriate medium and long-term policy measures in the field of active ageing.

The Effects of a Corporate Wellness Program on the Physical, Occupational, Socio-emotional, and Spiritual Wellness of Filipino Workers.

The study determined the effects of corporate wellness programs (CWP) on Filipino workers' physical, occupational, socio-emotional, intellectual, and spiritual wellness. The study looked into the components of a CWP, its forms of communication, the respondents' level of participation, motivation, and their physical, occupational, socio-emotional, intellectual, and spiritual well-being to determine their wellness status during the pandemic. The study utilized an online survey to examine questions related to the efficacy of such programs, descriptive statistics, correlation analysis to assess the respondents' socio-demographic profiles, and point biserial correlation to test the association of CWP to their wellness status. The research showed that 90% of the respondents participated in their organization's CWP, contradicting most studies that state CWP suffers from a low participation rate. CWP initiatives are mostly publicized through electronic mail, printed in memos, then posted on the bulletin board, and shared through the company website and social media. In addition, the study showed that overall wellness mean scores were higher in employees who were aware of their wellness programs than those who were not and in participating vis-à-vis non-participating employees. The study's six assumptions showed positive results, indicating that CWPs are beneficial in improving employees' overall wellness. However, the per paradigm and overall wellness scores were weakly associated with participation and awareness status based on the point biserial correlation. No adverse effects were recorded in the study. In addition, the study discovered that employees were active in personal wellness initiatives, leading to high scores in their wellness dimensions. The study showed different individual wellness initiatives implying that employees were also proactive about their total well-being.