To explore sequential steps of employee engagement in wellness interventions and the impact of wellness interventions on employee health. Using previously collected survey data from 23,667 UK employees, we tabulated intervention availability, awareness, participation, and associated health improvement and compared engagement by participation and risk status.
Employees' awareness of wellness interventions at their workplaces was often low (mean 43.3%, range 11.6%-82.3%). Participation was highest in diet/nutrition initiatives (94.2%) and lowest in alcohol counseling and smoking cessation interventions (2.1%).
Employees with health risks were less likely than lower-risk employees to report awareness, participation and health improvements from wellness interventions addressing the relevant health concern. Employers and policymakers should consider variation in intervention engagement as they plan and implement wellness interventions.
Engaging employee populations with higher health risks requires a more targeted approach.