Initiation and Maintenance of Fitness Center Utilization in an Incentive-Based Employer Wellness Program

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6 Scopus citations


To investigate the initiation and maintenance of participation in an employer-based wellness program that provides financial incentives for fitness center utilization. Methods: Using multivariate analysis, we investigated how employees' demographics, health status, exercise-related factors, and lifestyle change preferences affect program participation. Results: Forty-two percent of eligible employees participated in the program, and 24% earned a $20 incentive at least once by utilizing a gym eight times or more in a month. On average, participants utilized fitness centers 7.0 months each year and earned credit 4.5 months. Participants' utilization diminished after their first year in the program. Conclusions: Factors associated with initiation and maintenance of fitness center utilization were similar. Declining utilization over time raises concern about the long-run effectiveness of fitness-focused wellness programs. Employers may want to consider additional levers to positively reinforce participation.

Original languageEnglish (US)
Pages (from-to)952-957
Number of pages6
JournalJournal of occupational and environmental medicine
Issue number9
StatePublished - Sep 1 2015

Bibliographical note

Funding Information:
Research reported in this publication was supported by the National Cancer Institute of the National Institutes of Health under Award Number R03CA173558. The content is solely the responsibility of the authors and does not necessarily represent the official view of the National Institutes of Health.

Publisher Copyright:
© 2015 American College of Occupational and Environmental Medicine.


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