TY - JOUR
T1 - Associations between poor sleep quality and stages of change of multiple health behaviors among participants of employee wellness program
AU - Hui, Siu kuen Azor
AU - Grandner, Michael A.
N1 - Funding Information:
Dr. Hui is supported by the National Cancer Institute ( R03CA159903 ). Dr. Grandner is supported by the National Heart, Lung and Blood Institute ( K23HL110216 ) and the National Institute of Environmental Health Sciences ( R21ES022931 ). We also thank Drs. Ellerbeck and Shireman at University of Kansas Medical Center, and Ms. Cheryl Miller (the former Program Administrator of the Kansas Employee Wellness Program) for facilitating the data acquisition for this study.
Publisher Copyright:
© 2015 The Authors.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Objective: Using the Transtheoretical Model of behavioral change, this study evaluates the relationship between sleep quality and the motivation and maintenance processes of healthy behavior change. Methods: The current study is an analysis of data collected in 2008 from an online health risk assessment (HRA) survey completed by participants of the Kansas State employee wellness program (N = 13,322). Using multinomial logistic regression, associations between self-reported sleep quality and stages of change (i.e. precontemplation, contemplation, preparation, action, maintenance) in five health behaviors (stress management, weight management, physical activities, alcohol use, and smoking) were analyzed. Results: Adjusted for covariates, poor sleep quality was associated with an increased likelihood of contemplation, preparation, and in some cases action stage when engaging in the health behavior change process, but generally a lower likelihood of maintenance of the healthy behavior. Conclusions: The present study demonstrated that poor sleep quality was associated with an elevated likelihood of contemplating or initiating behavior change, but a decreased likelihood of maintaining healthy behavior change. It is important to include sleep improvement as one of the lifestyle management interventions offered in EWP to comprehensively reduce health risks and promote the health of a large employee population.
AB - Objective: Using the Transtheoretical Model of behavioral change, this study evaluates the relationship between sleep quality and the motivation and maintenance processes of healthy behavior change. Methods: The current study is an analysis of data collected in 2008 from an online health risk assessment (HRA) survey completed by participants of the Kansas State employee wellness program (N = 13,322). Using multinomial logistic regression, associations between self-reported sleep quality and stages of change (i.e. precontemplation, contemplation, preparation, action, maintenance) in five health behaviors (stress management, weight management, physical activities, alcohol use, and smoking) were analyzed. Results: Adjusted for covariates, poor sleep quality was associated with an increased likelihood of contemplation, preparation, and in some cases action stage when engaging in the health behavior change process, but generally a lower likelihood of maintenance of the healthy behavior. Conclusions: The present study demonstrated that poor sleep quality was associated with an elevated likelihood of contemplating or initiating behavior change, but a decreased likelihood of maintaining healthy behavior change. It is important to include sleep improvement as one of the lifestyle management interventions offered in EWP to comprehensively reduce health risks and promote the health of a large employee population.
KW - Employee wellness programs
KW - Multiple health behaviors change
KW - Sleep quality
KW - Transtheoretical model
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U2 - 10.1016/j.pmedr.2015.04.002
DO - 10.1016/j.pmedr.2015.04.002
M3 - Article
AN - SCOPUS:84930946967
VL - 2
SP - 292
EP - 299
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
SN - 2211-3355
ER -