In Reply Dr Raymond and colleagues offer potential reasons that our randomized evaluation of a workplace wellness program1 did not find greater effects. They suggest that a higher participation rate, clinician involvement, larger incentives, and a longer follow-up might have produced more positive findings for the program.

We of course agree that a different kind of wellness program might have produced different results; there are limits to the external generalizability of any single study. Our goal was not to study the most intensive or highly incentivized program possible, but rather one that was fairly representative of typical programs, with common features and an on-site component. The optimal wellness program might look different, and future research assessing the effectiveness of different program features might prove fruitful. We also agree that effects may vary over time (potentially either accumulating or attenuating), and we are currently working on a follow-up study of this randomized clinical trial through 3 years of the wellness program.

中文翻譯：

工作場所健康計劃和健康成果-答復

在答復中，雷蒙德博士及其同事提供了可能的原因，即我們對工作場所健康計劃1的隨機評估沒有發(fā)現更大的影響。他們認為更高的參與率，臨床醫(yī)生的參與，更大的激勵措施以及更長的隨訪可能為該計劃帶來了更多積極的發(fā)現。

我們當然同意，不同種類的保健計劃可能會產生不同的結果。任何一項研究的外部可概括性都有其局限性。我們的目標不是研究可能最密集或最受激勵的計劃，而是研究一個具有典型特征，具有共同特征和現場組成部分的典型代表。最佳健康計劃可能看起來有所不同，并且未來評估不同計劃功能有效性的研究可能會碩果累累。我們還同意，效果可能隨時間而變化（可能會累積或減弱），并且我們目前正在通過這項為期3年的健康計劃進行這項隨機臨床試驗的隨訪研究。

相關知識

Workplace Wellness Programs and Health Outcomes—Reply,JAMA
Workplace Health and Well
Effectiveness of Health and Wellness Programs
Health and wellness programs
30 Holistic Wellness Activities For The Workplace
Federal Worksite Wellness Programs
How To Conduct Engaging Workplace Wellness Workshops?
What Are Wellness Programs?
Why You Should Offer an Employee Health and Wellness Plan
Jasper Health & Wellness

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