“…Efforts to increase participation in health promotion programs have included attending to organizational climate and personal health characteristics (Sloan, 1988), increasing health promotion awareness, providing supportive environments (Selleck, 1989), analyzing organizational productivity, evaluating employee well being (Heerwagen, 1995), informing workers of health resources (Cloetta, 1992), and involving workers in program planning (Green, 1988). The health risk appraisal (Adams, 1995;Hyner, 1995) and a personalized health profile (Vasse, 1998) were offered as ways to increase workers' awareness of the link between lifestyle and illness, and to assist in planning appropriate teaching/learning concepts and counseling. Bertera (1990) maintained the need to reach spouses, shift workers, employees at small sites, and to balance what is popular at the moment with methods to reduce risks in workers' later years.…”