Case-Studies Chapter 6
Case-Studies Chapter 6
Case-Studies Chapter 6
Name: DONNA F GARCIA Subject: Health Ed P&P Date: April 23, 2022
Case Study
(Chapter 6: Compliance, Motivation, and Health Behaviors of the Learners)
“Keeping our employees healthy is not only the right thing to do, it is good for the bottom
line.” With this directive from the chief executive officer, Marie DeSantis, the staff in the Office
of Human Resources at Jefferson Pharmaceuticals developed a “Let’s Get Healthy” initiative for
its 500 employees. Weight Watchers, a smoking cessation program, and yoga classes were
brought on site and offered free of charge to all employees. Nicotine patches were offered at
50% of cost and gym memberships were provided at a significant reduction in price. The
cafeteria began offering healthy low-calorie meals and a walking club was started to support staff
who chose to exercise before and after work or during lunch hours. Staff who were willing to
submit an individual health plan and agreed to participate in one or more of the company’s
available health programs were offered a 10% discount in their health premiums.
One year after the start of Let’s Get Healthy, the initiative is in trouble. Although initially
met with a great deal of enthusiasm, staff compliance has declined. Attendance at Weight
Watchers and smoking cessation classes is episodic and yoga classes were cancelled because of
lack of interest. Anecdotal information suggests that although the company has renewed gym
memberships for about 20% of the staff, few are actually using them on a regular basis.
Convinced that Let’s Get Healthy is a good idea, the company has hired a health educator to
evaluate the program and make recommendations for improvement.
1. Using one of the identified models and theories of compliance (health belief model, self-
efficacy theory, protection motivation theory, stages of change model, theory of reasoned
action, or therapeutic alliance model), provide a possible explanation for why the staff
members at Jefferson Pharmaceuticals are not participating in the Let’s Get Healthy
campaign.
2. What motivational strategies did the human resources staff use in Let’s Get Healthy? Why do
you think these strategies did not work?
3. Do you think that if a health education campaign was offered in conjunction with the Let’s
Get Healthy program, the results would have been different?
Yes, there is a need for education in conjunction with the Let’s Get Healthy program to
address the lack of information on benefits of healthy diet as well as the benefits of exercise
and how exercise should be undertaken. Level of non-adherence is high whether it is lifestyle
recommendation or treatment prescription. Numerous factors are responsible for non-
adherence, and for each type of recommendation, factors are different. A health professional
should consider all possible factors which hinders adherence of the patients to the diet,
physical activity, and treatment regimen while guiding the patients.
The culture of health in supporting behavior change and motivating individuals is
significant in achieving and sustaining lifestyle improvement. It must comprise a broader
view of program and service composition, combining a wide range of resources, activities,
and communication channels to envelop consumers in a web of positive influence that helps
us identify the individuals who are ready to change and proactively engage them when they
are most receptive to support. By engaging when employees are ready to change, we can help
them commit to that change, act on their commitment, generate early success, and sustain
momentum for the long term. Successful programs optimize engagement by extending
pervasive support through various media and channels.