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Workplace Wellness Programs and Health Outcomes—Reply,JAMA

泰然健康网
2025-08-04 04:48

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.

中文翻译：

工作场所健康计划和健康成果-答复

在答复中，雷蒙德博士及其同事提供了可能的原因，即我们对工作场所健康计划1的随机评估没有发现更大的影响。他们认为更高的参与率，临床医生的参与，更大的激励措施以及更长的随访可能为该计划带来了更多积极的发现。

我们当然同意，不同种类的保健计划可能会产生不同的结果。任何一项研究的外部可概括性都有其局限性。我们的目标不是研究可能最密集或最受激励的计划，而是研究一个具有典型特征，具有共同特征和现场组成部分的典型代表。最佳健康计划可能看起来有所不同，并且未来评估不同计划功能有效性的研究可能会硕果累累。我们还同意，效果可能随时间而变化（可能会累积或减弱），并且我们目前正在通过这项为期3年的健康计划进行这项随机临床试验的随访研究。