abstract: 'Purpose The study describes the design, implementation and evaluation of

  an employer-sponsored health screening program - Employee Health and

  Wellness Program (EHWP) - in an academic healthcare system in Pakistan.

  Design/methodology/approach One year after implementation, RE-AIM

  (reach, effectiveness, adoption, implementation and maintenance)

  framework was used to evaluate and report participant- and

  organizational-level indicators of success. Findings Of the 5,286

  invited employees, 4,523 (86\%) completed blood work and 1809 (34\%)

  completed health risk assessment (reach). Of the 915 (51\%) who required

  referrals, 3\% were referred for new diagnoses of diabetes, hepatitis C

  or severe anemia; 63\% for elevated 10-year risk of cardiometabolic

  diseases (cardiovascular disease and diabetes); and 25\% for counseling

  for depression, obesity or smoking cessation (effectiveness). Employees''

  barriers to enrollment were explored (adoption). While institutional

  costs were considered nominal (USD 20/employee), organizational barriers

  were identified (implementation). Finally, 97\% of users reported

  interest in enrollment if EHWP was offered again (maintenance).

  Originality/value In a country with minimal focus on adult preventive

  care, the study reports the impact of an employer-offered wellness

  program that identified new risk factors and offered a referral for

  ongoing care. Employees reported a positive experience and were willing

  to re-enroll. Using the RE-AIM framework, the study has defined

  indicators in the real-world setting that can be used effectively by

  other institutions to start such a program.'
affiliation: 'Khan, UI (Corresponding Author), Aga Khan Univ, Dept Family Med, Karachi,
  Pakistan.

  Khan, Unab I.; Qureshi, Asra; Lal, Karishma, Aga Khan Univ, Dept Family Med, Karachi,
  Pakistan.

  Ali, Shehreen; Barkatali, Arshnoor, Aga Khan Univ Hosp, Employee Hlth, Karachi,
  Pakistan.

  Nayani, Shamim, Aga Khan Univ, Dept Human Resources, Karachi, Pakistan.'
author: Khan, Unab I. and Qureshi, Asra and Lal, Karishma and Ali, Shehreen and Barkatali,
  Arshnoor and Nayani, Shamim
author-email: 'unab.khan@aku.edu

  asra.qureshi@aku.edu

  karishma.kanhya@gmail.com

  shehreen.ali@aku.edu

  arshnoor.barkatali@aku.edu

  shamim.nayani@aku.edu'
author_list:
- family: Khan
  given: Unab I.
- family: Qureshi
  given: Asra
- family: Lal
  given: Karishma
- family: Ali
  given: Shehreen
- family: Barkatali
  given: Arshnoor
- family: Nayani
  given: Shamim
da: '2023-09-28'
doi: 10.1108/IJWHM-04-2021-0081
earlyaccessdate: DEC 2021
eissn: 1753-836X
files: []
issn: 1753-8351
journal: INTERNATIONAL JOURNAL OF WORKPLACE HEALTH MANAGEMENT
keywords: 'Employee Health and Wellness Program; Low-middle income countries;

  Preventive care model; RE-AIM framework; Framingham risk score (FRS);

  Metabolic syndrome (MetS)'
keywords-plus: INTERVENTIONS; DISEASES
language: English
month: JAN 18
number: '1'
number-of-cited-references: '18'
orcid-numbers: 'Khan, Unab/0000-0002-7002-1726

  Ali, Shehreen/0000-0002-3599-6405

  Lal, Karishma/0000-0001-7561-9025'
pages: 87-98
papis_id: f8ac6e0828e17366542d05d22eb5f399
ref: Khan2022implementationevalua
times-cited: '1'
title: Implementation and evaluation of Employee Health and Wellness Program using
  RE-AIM framework
type: article
unique-id: WOS:000727978600001
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '15'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2022'