Kenneth Pelletier - Academia.edu (original) (raw)
Papers by Kenneth Pelletier
American Journal of Health Promotion, Sep 1, 1993
American Journal of Health Promotion, 1990
Journal of Occupational and Environmental Medicine, Nov 1, 2011
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes rese... more This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
American Journal of Health Promotion, Nov 1, 2001
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes rese... more This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
Journal of Occupational and Environmental Medicine, Apr 1, 2019
Objectives: To identify statistically significant predictors for completing a Personal Health Ass... more Objectives: To identify statistically significant predictors for completing a Personal Health Assessment (PHA) or biometric screening from attributes of incentive designs. Methods: A cross-sectional study was conducted that included 426,694 members from 56 employer groups who required a PHA or screening as part of their incentive during 2016. Results: Incentive designs that combine high-value with immediate disbursement can relatively increase employee PHA participation by as much as 66% over plans with low-value and delayed disbursement (56.7% vs 34.1%, P < 0.001). Surcharge component was a significant predictor of PHA completion (P < 0.001); similar predictors were found for screening completion. Conclusions: This study identified several significant predictors of PHA or screening completion, including: monetary value, time to disbursement, disbursement method, and frequency. Our findings are consistent with prior research in human behavior responses to positive reinforcement.
... Holistic medicine: From stress to optimum health. Post a Comment. CONTRIBUTORS: Author: Pelle... more ... Holistic medicine: From stress to optimum health. Post a Comment. CONTRIBUTORS: Author: Pelletier, Kenneth R. ... PAGES (INTRO/BODY): xviii, 330 p. SUBJECT(S): Holistic medicine; Medicine; Medicine, Preventive; Health; Philosophy. DISCIPLINE: No discipline assigned. ...
American Journal of Health Promotion, Sep 1, 1999
This issue includes a landmark study focused on the return on investment (ROI) from a worksitebas... more This issue includes a landmark study focused on the return on investment (ROI) from a worksitebased health management program (HMP) conducted at Citibank. Why is this article so important? Business leaders have continually challenged our industry to produce "bottom line" savings.~,2 Part of the problem is ours. We have developed programs on the premise that they not only improve worker health but that they also produce health care, absenteeism, and productivity savings that far outweigh program costs. This search for the "Holy Grail" in health promotion evaluations--i.e., documenting ROI savings--has been difficult if not impossible to attain. We have all long awaited credible ROI outcomes that could quantify cost savings using state-of-the-art research methods that economists would accept. Thins has been the 20+-year challenge for our industry. Now, r~he ROI analysis performed for Citibank utilizes some of the most sophisticated analytic methods developed by health economists. Actually, the genesis for this study came from the bank’s management, who challenged the corporate medical director to produce ROI results--which is how the value of every other investment at Citibank is judged. For the study, the MEDSTAT group was hired because of its experience in performing and publishing high level research that passes the scrutiny of both economists and research scientists. This landmark study, concluded in 1998, was presented to Citibank management with an overall conclusion that the ].JMP produced impressive
Journal of Occupational and Environmental Medicine, Oct 1, 2005
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes rese... more This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
Columbia University Press eBooks, Dec 31, 1991
Routledge eBooks, Jul 12, 2017
Summmy.-Unpaid, normal volunteers (20 men and 20 women) were administered the autokinetic test, t... more Summmy.-Unpaid, normal volunteers (20 men and 20 women) were administered the autokinetic test, the embedded-figures test (EFT), and the rodand-frame test (RFT) prior to meditation instruction. After 3 mo. of instruction in Transcendental Meditation, Ss were retested and demonstrated increased ego distance and field independence on all of the above tests. These variations in an autonomic, enduring response clarify several issues i n research on perceptual sryle and meditation.
Springer eBooks, 1989
Over time, there has been a steady increase of workplace health promotion programs that aim to pr... more Over time, there has been a steady increase of workplace health promotion programs that aim to promote employees' health and fitness. Previous research has focused on such program's effectiveness, cost-savings, and barriers to engaging in workplace health promotion. The present research focuses on a downside of workplace health promotion programs that to date has not been examined before, namely the possibility that they, due to a focus on individual responsibility for one's health, inadvertently facilitate stigmatization and discrimination of people with overweight in the workplace. Study 1 shows that the presence of workplace health promotion programs is associated with increased attributions of weight controllability. Study 2 experimentally demonstrates that workplace health promotion programs emphasizing individual rather than organizational responsibility elicit weight stigma. Study 3, which was pre-registered, showed that workplace health promotion programs emphasizing individual responsibility induced weight-based discrimination in the context of promotion decisions in the workplace. Moreover, focusing on people with obesity who frequently experience weight stigma and discrimination, Study 3 showed that workplace health promotion programs highlighting individual responsibility induced employees with obesity to feel individually responsible for their health, but at the same time made them perceive weight as less controllable. Together, our research identifies workplace health promotion programs as potent catalysts of weight stigma and weight-based discrimination, especially when they emphasize individual responsibility for health outcomes. As such, we offer valuable insights for organizations who aim to design and implement workplace health promotion programs in an inclusive, non-discriminatory way that benefits all employees.
Alternative and Complementary Therapies, 2018
Alternative therapies in health and medicine, 1998
A review of research on complementary and alternative treatments, specifically mind-body techniqu... more A review of research on complementary and alternative treatments, specifically mind-body techniques, was conducted at Stanford University. The goals of the review were to establish a comprehensive literature review and to provide a rationale for future research concerning successful aging. Computerized searches were conducted using MEDLINE, PsychInfo, Stanford Library, Dissertation Abstracts, Lexus-Nexus, the Internet, and interviews conducted with practitioners. All studies since 1990 that examined mind-body treatments of cardiovascular disorders in the elderly were included. Mind-body practices evaluated were social support, cognitive-behavioral treatment, meditation, the placebo effect, hope, faith, imagery, spiritual healing, music therapy, hypnosis, yoga, t'ai chi, qigong and aikido. Studies conducted after 1990 were a priority, but when more recent literature was scarce, other studies using randomized, controlled trials were included. Mind-body techniques were found to be ...
Explore-the Journal of Science and Healing, Mar 1, 2010
Cost-benefit analyses (CBA) of every aspect of health and medical care are a necessity to address... more Cost-benefit analyses (CBA) of every aspect of health and medical care are a necessity to address both the clinical effectiveness and cost effectiveness of health and medical care for the purpose of allocating limited practitioner, organizational, governmental, and monetary resources while maintaining the highest quality outcomes. In response, there are an array of approaches that emphasize the full continuum of prevention, restructuring primary care, involvement of the workplace and communities, and adoption of innovative strategies and interventions ranging from genomic assessments to complementary and alternative medicine (CAM). Among these approaches is an integrative medicine (IM) model that is consistent with these national objectives and that uniquely and explicitly includes "evidence-based global medical strategies" in its definition. All of these strategies require rigorous, appropriate, state-of-the art medical economic analyses. Since few if any IM models have been rigorously evaluated in terms of CBA, it is possible to draw upon the cost-effectiveness research focused on a limited number of CAM modalities as well as from the work-site/ corporate clinical and cost outcomes research to suggest the evidence-based foundation from which a true healthcare system will evolve.
Journal of Occupational and Environmental Medicine, Sep 1, 2003
American Journal of Health Promotion, Sep 1, 1993
American Journal of Health Promotion, 1990
Journal of Occupational and Environmental Medicine, Nov 1, 2011
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes rese... more This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
American Journal of Health Promotion, Nov 1, 2001
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes rese... more This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
Journal of Occupational and Environmental Medicine, Apr 1, 2019
Objectives: To identify statistically significant predictors for completing a Personal Health Ass... more Objectives: To identify statistically significant predictors for completing a Personal Health Assessment (PHA) or biometric screening from attributes of incentive designs. Methods: A cross-sectional study was conducted that included 426,694 members from 56 employer groups who required a PHA or screening as part of their incentive during 2016. Results: Incentive designs that combine high-value with immediate disbursement can relatively increase employee PHA participation by as much as 66% over plans with low-value and delayed disbursement (56.7% vs 34.1%, P < 0.001). Surcharge component was a significant predictor of PHA completion (P < 0.001); similar predictors were found for screening completion. Conclusions: This study identified several significant predictors of PHA or screening completion, including: monetary value, time to disbursement, disbursement method, and frequency. Our findings are consistent with prior research in human behavior responses to positive reinforcement.
... Holistic medicine: From stress to optimum health. Post a Comment. CONTRIBUTORS: Author: Pelle... more ... Holistic medicine: From stress to optimum health. Post a Comment. CONTRIBUTORS: Author: Pelletier, Kenneth R. ... PAGES (INTRO/BODY): xviii, 330 p. SUBJECT(S): Holistic medicine; Medicine; Medicine, Preventive; Health; Philosophy. DISCIPLINE: No discipline assigned. ...
American Journal of Health Promotion, Sep 1, 1999
This issue includes a landmark study focused on the return on investment (ROI) from a worksitebas... more This issue includes a landmark study focused on the return on investment (ROI) from a worksitebased health management program (HMP) conducted at Citibank. Why is this article so important? Business leaders have continually challenged our industry to produce "bottom line" savings.~,2 Part of the problem is ours. We have developed programs on the premise that they not only improve worker health but that they also produce health care, absenteeism, and productivity savings that far outweigh program costs. This search for the "Holy Grail" in health promotion evaluations--i.e., documenting ROI savings--has been difficult if not impossible to attain. We have all long awaited credible ROI outcomes that could quantify cost savings using state-of-the-art research methods that economists would accept. Thins has been the 20+-year challenge for our industry. Now, r~he ROI analysis performed for Citibank utilizes some of the most sophisticated analytic methods developed by health economists. Actually, the genesis for this study came from the bank’s management, who challenged the corporate medical director to produce ROI results--which is how the value of every other investment at Citibank is judged. For the study, the MEDSTAT group was hired because of its experience in performing and publishing high level research that passes the scrutiny of both economists and research scientists. This landmark study, concluded in 1998, was presented to Citibank management with an overall conclusion that the ].JMP produced impressive
Journal of Occupational and Environmental Medicine, Oct 1, 2005
This critical review focuses on the 27 new studies focused on the clinical and cost outcomes rese... more This critical review focuses on the 27 new studies focused on the clinical and cost outcomes research focused on worksites and published between 2008 to 2010. Methods: A comprehensive search was conducted using a multi-stage process that included a MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, Lexis-Nexis databases, and direct inquires to worksite researchers and corporate medical directors. Results: Clearly, these new studies indicate further evidence of positive outcomes since, the quantity and quality of such research continues to improve. Conclusions: When corporations, government, and health plans are demanding more evidence based outcomes, this increase in rigorous research. T his article is the eighth in a series of critical reviews of the clinical and cost-effectiveness studies of comprehensive, multifactorial, health promotion, and disease management programs conducted in corporate worksites. As with these previous reviews, the purpose of this article is to review and assess the experimental and quasiexperimental research trials that have focused on clinical and/or cost outcomes of worksite health promotion and disease management interventions. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion, and disease management that integrates specific components into a coherent, ongoing program, which is consistent with corporate objectives and includes program evaluation of clinical and/or cost outcomes. This article focuses on the 27 peer-reviewed studies published during 2008 to 2010. In terms of identifying emerging trends, this study draws upon the previous seven reviews of 169 studies as well as the 27 new studies conducted during the last 2 years.
Columbia University Press eBooks, Dec 31, 1991
Routledge eBooks, Jul 12, 2017
Summmy.-Unpaid, normal volunteers (20 men and 20 women) were administered the autokinetic test, t... more Summmy.-Unpaid, normal volunteers (20 men and 20 women) were administered the autokinetic test, the embedded-figures test (EFT), and the rodand-frame test (RFT) prior to meditation instruction. After 3 mo. of instruction in Transcendental Meditation, Ss were retested and demonstrated increased ego distance and field independence on all of the above tests. These variations in an autonomic, enduring response clarify several issues i n research on perceptual sryle and meditation.
Springer eBooks, 1989
Over time, there has been a steady increase of workplace health promotion programs that aim to pr... more Over time, there has been a steady increase of workplace health promotion programs that aim to promote employees' health and fitness. Previous research has focused on such program's effectiveness, cost-savings, and barriers to engaging in workplace health promotion. The present research focuses on a downside of workplace health promotion programs that to date has not been examined before, namely the possibility that they, due to a focus on individual responsibility for one's health, inadvertently facilitate stigmatization and discrimination of people with overweight in the workplace. Study 1 shows that the presence of workplace health promotion programs is associated with increased attributions of weight controllability. Study 2 experimentally demonstrates that workplace health promotion programs emphasizing individual rather than organizational responsibility elicit weight stigma. Study 3, which was pre-registered, showed that workplace health promotion programs emphasizing individual responsibility induced weight-based discrimination in the context of promotion decisions in the workplace. Moreover, focusing on people with obesity who frequently experience weight stigma and discrimination, Study 3 showed that workplace health promotion programs highlighting individual responsibility induced employees with obesity to feel individually responsible for their health, but at the same time made them perceive weight as less controllable. Together, our research identifies workplace health promotion programs as potent catalysts of weight stigma and weight-based discrimination, especially when they emphasize individual responsibility for health outcomes. As such, we offer valuable insights for organizations who aim to design and implement workplace health promotion programs in an inclusive, non-discriminatory way that benefits all employees.
Alternative and Complementary Therapies, 2018
Alternative therapies in health and medicine, 1998
A review of research on complementary and alternative treatments, specifically mind-body techniqu... more A review of research on complementary and alternative treatments, specifically mind-body techniques, was conducted at Stanford University. The goals of the review were to establish a comprehensive literature review and to provide a rationale for future research concerning successful aging. Computerized searches were conducted using MEDLINE, PsychInfo, Stanford Library, Dissertation Abstracts, Lexus-Nexus, the Internet, and interviews conducted with practitioners. All studies since 1990 that examined mind-body treatments of cardiovascular disorders in the elderly were included. Mind-body practices evaluated were social support, cognitive-behavioral treatment, meditation, the placebo effect, hope, faith, imagery, spiritual healing, music therapy, hypnosis, yoga, t'ai chi, qigong and aikido. Studies conducted after 1990 were a priority, but when more recent literature was scarce, other studies using randomized, controlled trials were included. Mind-body techniques were found to be ...
Explore-the Journal of Science and Healing, Mar 1, 2010
Cost-benefit analyses (CBA) of every aspect of health and medical care are a necessity to address... more Cost-benefit analyses (CBA) of every aspect of health and medical care are a necessity to address both the clinical effectiveness and cost effectiveness of health and medical care for the purpose of allocating limited practitioner, organizational, governmental, and monetary resources while maintaining the highest quality outcomes. In response, there are an array of approaches that emphasize the full continuum of prevention, restructuring primary care, involvement of the workplace and communities, and adoption of innovative strategies and interventions ranging from genomic assessments to complementary and alternative medicine (CAM). Among these approaches is an integrative medicine (IM) model that is consistent with these national objectives and that uniquely and explicitly includes "evidence-based global medical strategies" in its definition. All of these strategies require rigorous, appropriate, state-of-the art medical economic analyses. Since few if any IM models have been rigorously evaluated in terms of CBA, it is possible to draw upon the cost-effectiveness research focused on a limited number of CAM modalities as well as from the work-site/ corporate clinical and cost outcomes research to suggest the evidence-based foundation from which a true healthcare system will evolve.
Journal of Occupational and Environmental Medicine, Sep 1, 2003