2023-09-28 14:46:10 +00:00
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abstract: 'Purpose The study describes the design, implementation and evaluation of
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an employer-sponsored health screening program - Employee Health and
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Wellness Program (EHWP) - in an academic healthcare system in Pakistan.
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Design/methodology/approach One year after implementation, RE-AIM
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(reach, effectiveness, adoption, implementation and maintenance)
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framework was used to evaluate and report participant- and
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organizational-level indicators of success. Findings Of the 5,286
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invited employees, 4,523 (86\%) completed blood work and 1809 (34\%)
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completed health risk assessment (reach). Of the 915 (51\%) who required
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referrals, 3\% were referred for new diagnoses of diabetes, hepatitis C
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or severe anemia; 63\% for elevated 10-year risk of cardiometabolic
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diseases (cardiovascular disease and diabetes); and 25\% for counseling
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for depression, obesity or smoking cessation (effectiveness). Employees''
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barriers to enrollment were explored (adoption). While institutional
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costs were considered nominal (USD 20/employee), organizational barriers
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were identified (implementation). Finally, 97\% of users reported
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interest in enrollment if EHWP was offered again (maintenance).
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Originality/value In a country with minimal focus on adult preventive
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care, the study reports the impact of an employer-offered wellness
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program that identified new risk factors and offered a referral for
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ongoing care. Employees reported a positive experience and were willing
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to re-enroll. Using the RE-AIM framework, the study has defined
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indicators in the real-world setting that can be used effectively by
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other institutions to start such a program.'
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affiliation: 'Khan, UI (Corresponding Author), Aga Khan Univ, Dept Family Med, Karachi,
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Pakistan.
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Khan, Unab I.; Qureshi, Asra; Lal, Karishma, Aga Khan Univ, Dept Family Med, Karachi,
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Pakistan.
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Ali, Shehreen; Barkatali, Arshnoor, Aga Khan Univ Hosp, Employee Hlth, Karachi,
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Pakistan.
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Nayani, Shamim, Aga Khan Univ, Dept Human Resources, Karachi, Pakistan.'
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author: Khan, Unab I. and Qureshi, Asra and Lal, Karishma and Ali, Shehreen and Barkatali,
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Arshnoor and Nayani, Shamim
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author-email: 'unab.khan@aku.edu
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asra.qureshi@aku.edu
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karishma.kanhya@gmail.com
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shehreen.ali@aku.edu
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arshnoor.barkatali@aku.edu
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shamim.nayani@aku.edu'
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author_list:
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- family: Khan
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given: Unab I.
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- family: Qureshi
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given: Asra
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- family: Lal
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given: Karishma
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- family: Ali
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given: Shehreen
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- family: Barkatali
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given: Arshnoor
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- family: Nayani
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given: Shamim
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da: '2023-09-28'
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doi: 10.1108/IJWHM-04-2021-0081
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earlyaccessdate: DEC 2021
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eissn: 1753-836X
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files: []
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issn: 1753-8351
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journal: INTERNATIONAL JOURNAL OF WORKPLACE HEALTH MANAGEMENT
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keywords: 'Employee Health and Wellness Program; Low-middle income countries;
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Preventive care model; RE-AIM framework; Framingham risk score (FRS);
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Metabolic syndrome (MetS)'
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keywords-plus: INTERVENTIONS; DISEASES
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language: English
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month: JAN 18
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number: '1'
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number-of-cited-references: '18'
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orcid-numbers: 'Khan, Unab/0000-0002-7002-1726
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Ali, Shehreen/0000-0002-3599-6405
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Lal, Karishma/0000-0001-7561-9025'
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pages: 87-98
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papis_id: f8ac6e0828e17366542d05d22eb5f399
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ref: Khan2022implementationevalua
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times-cited: '1'
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title: Implementation and evaluation of Employee Health and Wellness Program using
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RE-AIM framework
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000727978600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '15'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2022'
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