Worksite wellness interventions have been a part of companies’ health care offerings to address prevalenthealth risks such as obesity and physical inactivity. To enhance engagement, participation has beenfinancially incentivized with the assumption that an external motivator in form of monetary benefit isemployees’ primary driver. However, a more thorough investigation of behavioral regulations that lead toparticipation is essential, particularly in the absence of incentives. We surveyed a cohort of 436 whitecollar employees, of which 177 were worksite exercise program participants and 259 were nonparticipants.Diverse exercise facilities were available to all and participation was not incentivized. Aftercontrolling for covariates previously identified to affect participation, external regulation was a significantfactor in the tested multivariate logistic regression. This finding adds to the evidence of a significant roleof non-financial external motivators, such as organizational health culture and the necessity for a holisticparticipatory approach to health promotion.
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