Health Promotion Practice
Month XXXX Vol. XX, No. X, xx-xx
DOI: 10.1177/1524839908330745
©2009 Society for Public Health Education
Authors’ Note: All correspondence and requests for reprints should
be addressed to Kathryn H. Schmitz, PhD, MPH, Center for Clinical
Epidemiology and Biostatistics, University of Pennsylvania, 921
Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104; e-mail:
schmitz@mail.med.upenn.edu.
Assessment and Outcomes of HealthPartners 10,000
Steps Program in an Academic Work Site
Rebecca M. Speck, MPH
Rhonda K. Hill, MPH
Nico P. Pronk, PhD, MA
Mark P. Becker, PhD
Kathryn H. Schmitz, PhD, MPH
The authors examined the feasibility, acceptability, and
potential for physical activity behavior change of a
21-week, 10,000 Steps® program in an academic work
site. In a pre-post, noncontrolled study design, partici-
pants were supplied a pedometer, online resource, and
health promotional activities. Means, medians, ranges,
and frequencies of self-reported average daily steps
(ADS) described physical activity behavior change. An
online exit survey assessed the acceptability of the inter-
vention. Of 1,322 eligible participants, 619 (47%) regis-
tered; 74% of participants tracked step counts at least
once, and 57 (9%) tracked them all 21 weeks. The pro-
portion of cohort participants with <7,499 ADS tracking
all 21 weeks was significantly less than that same cohort
tracking only at baseline (p < .02). Survey results showed
that 85% of the participants reported general satisfac-
tion with content and navigation of the program Web
site. Results suggest elements of feasibility and accept-
ability but limited potential for physical activity behav-
ior change. Future studies should assess preenrollment
ADS and barriers to retaining participants.
Keywords: work site; physical activity; health promotion
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INTRODUCTION
It has been reported that physical inactivity
contributes to 300,000 preventable deaths a year in the
United States (U.S. Department of Health and Human
Services [DHHS], 1996/1999). Despite overwhelming
1
evidence of the protective health benefits of regular
leisure time physical activity, the U.S. DHHS reports
that two thirds of adults do not participate in regular
physical activity (U.S. DHHS, 1996/1999), and at least
one quarter of the American population is completely
inactive (Center for Disease Control and Prevention,
2003; U.S. DHHS, 1996/1999). Physical activity in the
United States is the first of 10 “leading indicator” areas
of Healthy People 2010 (Health People 2010, 2000).
Healthy People 2010 objectives include a goal to
“increase the proportion of work sites offering employer-
sponsored physical activity and fitness programs to
75% by 2010” (Healthy People 2010, 2000). The goal
was based on 1999 national survey data released by the
Office of Disease Prevention and Health Promotion,
indicating that 46% of work sites offered health
programs to their employees (Association for Worksite
Health Promotion, 1999).
Well over 135 million people are employed in the
United States (National Institute for Occupational Safety
and Health, 2004). On average, most American adults
spend 8 hours a day at work, making the workplace a
potential environment for interventions to promote
healthy living. Work sites provide for the opportunity to
encourage employees and their families to increase their
levels of physical activity (Dishman, Oldenburg, O’Neal,
& Shepard, 1998). Work site organizational structures
allow for communication and coordination of health
promotion efforts, including e-mail messaging and
electronic newsletters, social support from management
Health Promot Pract OnlineFirst, published on January 31, 2009 as doi:10.1177/1524839908330745