A relatively inexpensive, easy-to-use, and metrically tested instrument exists for measuring the construct of organizational support for employee heart health. The instrument shows promise as part of a system to enhance heart health through public health-based interventions in the workplace.

A relationship between modifiable health risk factors and health care costs is supported by research. Health promotion interventions appear to provide positive financial returns, most notably for health care costs and absenteeism reduction. Private sector initiatives seem to be driving economic-based research. Overall, health promotion shows promising results for providing financial advantages for its sponsors; however, if this discipline is to show its true worth, considerable funding is needed from government or philanthropic sources to cover the substantial costs of quality research.

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A conccptual model for addressing the creation of supportive environments for worksite health promotion settings is presented. The authors also discuss the variety of organizational and cultural interventions that are necessary in creating a supportive environment for healthy behavior using a social ecology perspective. The connection to next generation strategies in worksite health promotion is proposed and summaries of the relevant literatures are cited.