McCoy Kira, Stinson Kaylan, Scott Kenneth, Tenney Liliana, Newman Lee S
From Hampshire College (Ms McCoy), Amherst, Mass; the Center for Worker Health and Environment (Ms Stinson, Mr Scott, Ms. Tenney, and Dr Newman), Colorado School of Public Health; Department of Medicine (Dr Newman), School of Medicine, University of Colorado, Aurora.
J Occup Environ Med. 2014 Jun;56(6):579-87. doi: 10.1097/JOM.0000000000000171.
To assess the evidence regarding the adoption and efficacy of worksite health promotion programs (WHPPs) in small businesses.
Peer-reviewed research articles were identified from a database search. Included articles were published before July 2013, described a study that used an experimental or quasiexperimental design and either assessed adoption of WHPPs or conducted interventions in businesses with fewer than 500 employees. A review team scored the study's rigor using the WHO-adapted GRADEprofiler "quality of evidence" criteria.
Of the 84 retrieved articles, 19 met study inclusion criteria. Of these, only two met criteria for high rigor.
Fewer small businesses adopt WHPPs compared with large businesses. Two high-rigor studies found that employees were healthier postintervention. Higher quality research is needed to better understand why small businesses rarely adopt wellness programs and to demonstrate the value of such programs.
评估有关小型企业采用工作场所健康促进计划（WHPPs）及其效果的证据。
通过数据库检索确定同行评审的研究文章。纳入的文章发表于2013年7月之前，描述了一项采用实验或准实验设计的研究，该研究要么评估了WHPPs的采用情况，要么在员工少于500人的企业中进行了干预。一个评审团队使用世界卫生组织改编的GRADEprofiler“证据质量”标准对研究的严谨性进行评分。
在检索到的84篇文章中，19篇符合研究纳入标准。其中，只有两篇符合高严谨性标准。
与大型企业相比，采用WHPPs的小型企业较少。两项高严谨性研究发现，干预后员工更健康。需要更高质量的研究来更好地理解小型企业很少采用健康计划的原因，并证明此类计划的价值。
