An Evaluation of Army Wellness Center Clients’ Health-Related Outcomes

Rivera, L. Omar; Ford, Jessica Danielle; Hartzell, Meredith Marie; Hoover, Todd Allan

doi:10.1177/0890117117753184

Title: An Evaluation of Army Wellness Center Clients’ Health-Related Outcomes

Journal Article · 05 February 2018 · American Journal of Health Promotion

DOI: https://doi.org/10.1177/0890117117753184 · OSTI ID:1419686

Rivera, L. Omar ^[1]; Ford, Jessica Danielle ^[2]; Hartzell, Meredith Marie ^[1]; Hoover, Todd Allan ^[3]

Army Public Health Center, Health Promotion and Wellness Directorate, Public Health Assessment Division, Aberdeen Proving Ground-Edgewood Area, MD, USA, Oak Ridge Institute for Science and Education (ORISE), Oak Ridge Associated Universities (ORAU), Belcamp, MD, USA
Army Public Health Center, Health Promotion and Wellness Directorate, Public Health Assessment Division, Aberdeen Proving Ground-Edgewood Area, MD, USA
Army Public Health Center, Health Promotion and Wellness Directorate, Army Wellness Center Operations Division, Aberdeen Proving Ground-Edgewood Area, MD, USA

Purpose: To examine whether Army community members participating in a best-practice based workplace health promotion program (WHPP) experience goal-moderated improvements in health-related outcomes. Design: Pretest/posttest outcome evaluation examining an autonomously participating client cohort over 1 year. Setting: Army Wellness Center facilities on 19 Army installations. Participants: Army community members sample (N = 5703), mostly Active Duty Soldiers (64%). Intervention: Assessment of health risks with feedback, health assessments, health education classes, and health coaching sessions conducted by health educators at a recommended frequency of once a month for 3 to 12 months. Measures: Initial and follow-up outcome assessments of body mass index (BMI), body fat, cardiorespiratory fitness, blood pressure, and perceived stress. Analysis: Mixed model linear regression testing for goal-moderated improvements in outcomes. Results: Clients experienced significant improvements in body fat (−2% change), perceived stress (−6% to −12% change), cardiorespiratory fitness (+6% change), and blood pressure (−1% change) regardless of health-related goal. Only clients with a weight loss goal experienced BMI improvement (−1% change). Follow-up outcome assessment rates ranged from 44% (N = 2509) for BMI to 6% (N = 342) for perceived stress. Conclusion: Army Wellness Center clients with at least 1 follow-up outcome assessment experienced improvements in military readiness correlates and chronic disease risk factors. Evaluation design and follow-up-related limitations notwithstanding results suggest that best practices in WHPPs can effectively serve a globally distributed military force.

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Sponsoring Organization:: USDOE

OSTI ID:: 1419686

Journal Information:: American Journal of Health Promotion, Journal Name: American Journal of Health Promotion Vol. 32 Journal Issue: 7; ISSN 0890-1171

Publisher:: SAGE PublicationsCopyright Statement

Country of Publication:: United States

Language:: English

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