Reports of workplace health promotion programs are reviewed in light of Kuhn's views on paradigmatic advances in science. Such reports fall into two categories: (1) those which describe single health-habit interventions (e.g., smoking cessation, weight control, or stress management) and (2) those which describe comprehensive efforts to incorporate many single health-habit interventions into integrated programs. Com mon to virtually all of these programs in their focus on the modification of the health behavior of individuals. Consideration of such organizational-level factors as work design or climate which are beyond the control of the individual, yet may contribute heavily to illness and absenteeism of employees, is typically omitted. It is concluded that workplace health promotion in the United States has achieved the status of a paradigm and that this paradigm is associated with several limitations and ethical prob lems in light of the programs' objectives: to reduce organizations' medical-care costs and improve productivity.
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References
1.
Bellingham R. , Johnson D., McCauley M.: The AT&T communications Total Life Concept . Corporate Commentary1:1-13, 1985.
2.
Fielding JE: Effectiveness of employee health improvement programs. Journal of Occupational Medicine24:907-916, 1982.
3.
Fielding JE: Health promotion and disease prevention at the worksite. Annual Review of Public Health5:237-265, 1984.
4.
Kuhn TS: The Structure of Scientific Revolutions. Chicago, University of Chicago Press, 1962.
5.
Watson RI: Psychology: A Prescriptive Science, in M Henle, J Jaynes, and J Sullivan (eds): Historical Conceptions of Psychology. New York, Springer, 1973.
6.
Gholson B., Barker R.: Kuhn, Lakatos, and Laudan: Applications in the history of physics and psychology . American Psychologist40:755-769, 1985.
7.
Alderman M., et al.: Hypertension control programs in occupational settings. Public Health Reports95:158-163, 1980.
8.
Patel C., Marmot M., Terry D.: Controlled trial of biofeedback-aided behavioral methods in reducing mild hypertension. Br Med J282:2005-2008, 1981 .
9.
Follick M., Abrams D., Pinto R., Fowler J.: Health promotion in industrial and organizational settings, in G Stone, S Weiss, J Matarazzo, C BelarM Follick, and J Singer (eds): Health psychology: A Discipline and a Profession. Chicago, University of Chicago Press, in press.
10.
Abrams D., Follick M.: Behavioral weight loss intervention at the worksite: Feasibility and maintenance . Journal of Consulting and Clinical Psychology51:226-233, 1983.
11.
Brownell, K: Obesity: Understanding and treating a serious, prevalent, and refractory disorder. Journal of Consulting and Clinical Psychology50:820-840, 1982.
12.
Danaher B.: Smoking cessation programs in occupational settings, in R Parkinson (ed): Managing Health Promotion in the Workplace. Palo Alto, CA, Mayfield, 1982.
13.
Lichtenstein E.: The smoking problem: A behavioral perspective . Journal of Consulting and Clinical Psychology50:804-819, 1982.
14.
McLeroy KR, Green LW, Mullen KD, Foshee V.: Assessing the effects of health promotion in worksites: A review of the stress program evaluation. Health Education Quarterly11:379-402, 1984.
15.
Peters R., Benson H., Porter D.: Daily relaxation response breaks in a working population: Effects on self-reported measures of health, performance, and well-being. American Journal of Public Health67:946-959, 1977.
16.
Carrington P., Collings G., Benson H., Wood L., Lehrer P., Woolfolk R., Cole J.: The use of meditation-relaxation techniques for the management of stress in a working population. Journal of Occupational Medicine22:221-231, 1980.
17.
Patel C.: Biofeedback-aided relaxation and meditation in the management of hypertension . Biofeedback and Self-Regulation2:1-41, 1977.
18.
Manuso J.: The Equitable Life Assurance Society Program. Preventive Medicine12:658-662, 1983.
19.
Parkinson R (ed): Managing Health Promotion at the Workplace. Palo Alto, CA, Mayfield, 1982.
20.
Brennan, A (ed): Worksite health promotion. Health Education Quarterly9, 1983 .
21.
O'Donnell MP, Ainsworth T (eds): Health Promotion in the Workplace.New York, Wiley , 1984.
22.
Everly GS, Feldman RHL (eds): Occupational Health Promotion. New York, Wiley, 1985.
23.
Everly G.: An introduction to health and occupational health promotion, in GS Everly and RHL Feldman (eds): Occupational Health Promotion. New York, Wiley, 1985.
24.
Novelli W., Ziska D.: Health promotion in the workplace: An overview. Health Education Quarterly9: 20-26, 1982.
25.
Chadwick J.: Health behavior change at the worksite, in R Parkinson (ed): Managing Health Promotion in the Workplace . Palo Alto, CA, Mayfield, 1982.
26.
Ainsworth TH: The health promotion concept, in MP O'Donnell and T Ainsworth (eds): Health Promotion in the Workplace. New York, Wiley, 1984.
27.
Nadich M.: The Staywell Program, in JD Matarazzo, NE Miller, JA Herd, SM Weiss, and SM Weiss (eds): Behavioral Health: A Handbook of Health Enhancement and Disease Prevention. New York, Wiley, 1985.
28.
Nathan PE: Johnson & Johnson's Live for Life: A comprehensive positive lifestyle change program, in JD Matarazzo, NE Miller, JA Herd, SM Weiss, and SM Weiss (eds): Behavioral Health: A Handbook of Health Enhancement and Disease Prevention . New York, Wiley, 1985.
29.
Landgreen M. , Baum W.: Adhering to fitness in the corporate setting . Corporate Commentary2:37-44, 1984.
30.
Office of Disease Prevention and Health Promotion: Worksite health promotion: Examples of programs that work. U.S. Department of Health and Human Services, Washington, DC, 1984.
31.
Jackson S.: Participation in decision making as a strategy for reducing job-related strain . Journal of Applied Psychology68:3-19, 1983.
32.
House JS: Work Stress and Social Support. Reading, MA, Addison-Wesley, 1981.
33.
Frankenhaeuser M., Johansson G.: Task demand as reflected in catecholamine excretion and heart rate. Journal of Human Stress2:15-23, 1976.
34.
Cobb S.: Role responsibility: The differentiation of a concept, in A McLean (ed): Occupational Stress. Springfield, IL, Thomas, 1974.
35.
Kahn R.: Work and Health. New York, Wiley , 1981.
36.
Adams JD: Improving stress management: An action-research-based OD intervention, in WW Burke (ed): The Cutting Edge: Current Theory and Practice in Organization Development. La Jolla, CA, University Associates, 1978.
Levi L., Frankenhaeuser M., Gardell B.: Report on work stress related to social structures and processes, in GR Elliott and C Eisdorfer (eds): Stress and Human Health. New York, Springer, 1982.
39.
Frankenhaeuser M., Gardell B.: Underload and overload in working life: Outline of a multidisciplinary approach. Journal of Human Stress2:35-46, 1976.
40.
Johansson G. , Aronsson G., Lindstrom B.: Social psychological and neuroendocrine stress reactions in highly mechanized work. Ergonomics21:583-599, 1978.
41.
Singer JE, Lundberg V., Frankenhaeuser M.: Stress on the train: A study of urban commuting, in A Baum, JE Singer, and S Valins (eds): Advances in Environmental Psychology (Vol. 1). Hillsdale, NJ, Erlbaum, 1978.
42.
Lundberg V. , Frankenhaeuser M.: Psychophysiological reactions to noise as modified by personal control over noise intensity. Biological Psychology6:51-59, 1978.
43.
Williams R.: Psychophysiological processes, the coronary-prone behavior patterns, and coronary heart disease, in T Dembroski, S Weiss, J ShieldsS Haynes, and M Feinleib (eds): Coronary-Prone Behavior. New York, Springer-Verlag, 1978.
44.
Manuck S., Kaplan J., Clarkson T.: Behaviorally induced heart rate reactivity and atherosclerosis in cynomolgus monkeys. Psychosomatic Medicine45:95-108, 1983.
45.
Moore-Ede M. , Richardson G.: Medical implications of shift-work. Annual Review of Medicine36:607-617, 1985.
46.
Cohen A.: Factors in successful occupational safety programs. Journal of Safety Research9:168-179, 1977.
47.
Goldstein I.: Training, in B Margolis W Kroes (eds): The Human Side of Accident Prevention . Springfield, IL, Thomas, 1975.
48.
Dubos R.: Mirage of Health. New York, Harper and Row, 1959.
49.
Williams AF : Passive and active measures for controlling disease and injury: The role of health psychologists. Health Psychology1:399-409, 1982.
50.
Ganster D., Mayes B., Sime W., Tharp G.: Managing organizational stress: A field experiment. Journal of Applied Psychology67:533-542, 1982.
51.
Allegrante JP , Sloan RP: Ethical dilemmas in workplace health promotion programs. Prevention Medicine15:313-320, 1986.
52.
Lerner M.: Observer's evaluation of a victim: Justice, guilt, and veridical perception . Journal of Personality and Social Psychology20:127-135, 1971.
53.
Wallin L., Wright I.: Psychosocial aspects of the work environment. Journal of Occupational Medicine5:384-393, 1986.
