Health Plans to Employment: An on-line health promotion intervention for Vocational Rehabilitation clients
The Health Plans to Employment (HPE) program was designed to provide a low-cost health promotion option to people with disabilities who desire wellness services. The presentation will cover issues related to health promotion programming for people with disabilities, describe the HPE program, and provide results from a pilot study.
The disparity in employment and insurance coverage between people with and without disabilities translates into disparities in access to health promotion programming. One approach to expand access at little cost is to provide an on-line health promotion intervention to Vocational Rehabilitation clients. This presentation will report on results from a pilot study of the Health Plans to Employment (HPE) intervention. The HPE consists of a brief self-report questionnaire, targeted health and behavior change information, and a goal setting process to outline steps for achieving a behavior change objective. The HPE also builds on and links to existing resources, such as the National Center for Physical Activity and Disability, Mayo Clinic, USDA MyPyramid, and Helpguide.org.
Recruitment for this pilot study targeted VR consumers from two state VR agencies (n = 222). Pilot participants were randomly assigned to one of three conditions. Group 1 received a series of health promotion factsheets. Group 2 participated in the HPE on-line program. Group 3 received two brief Motivational Interviewing (MI) calls and participated in the HPE program. We included an MI component because research shows that MI has an additive effect when combined with other treatment modalities and that effects tend to be longer lasting.
The presentation will describe the comparative effectiveness of these three intervention conditions and compare outcomes with a control group from a previous study. Outcomes of interest include self-efficacy beliefs, health related quality of life, limitation from secondary conditions, health promoting lifestyle behaviors, and program adherence.