This study is concerned with the problem of determining the types and characteristics of wellness programs presently offered by selected junior and community colleges throughout the United States. The purposes include (1) the investigation of the extent to which the six dimensional scheme of wellness, as developed by William Hettler, M. D. [Family and Community Health, May, 1980], has been implemented on the campuses of junior and community colleges and (2) an exploration of the validity of Hettler's model of wellness for these institutions. The study population sample is the membership list of the junior and community college section of the American College Health Association, which is a multidisciplinary professional organization for university and college health administrators. The specially designed survey instrument produced a 73 per cent response return. Response frequencies and percentages were gathered to show the current and anticipated prevalence of different types of wellness programs and the current and anticipated management related characteristics of wellness offerings in these college settings. Several open-ended questions also produced narrative respondent opinions.

A crescente epidemia de obesidade tem incentivado profissionais da saúde a procurar por intervenções que possam atingir um grande número de indivíduos de maneira custo-efetiva. Os Programas de Qualidade de Vida no Trabalho vêm sendo apontados como ferramentas importantes para a promoção da saúde e qualidade de vida. Neste contexto, o Coaching em Saúde e Bem Estar vem despontando como um componente promissor nas intervenções desenvolvidas nestes programas, de modo a atingir resultados positivos e permanentes para mudança de comportamento para um estilo de vida saudável. Desta forma, o propósito desta revisão é verificar o efeito do Coaching em Saúde e Bem Estar sobre o peso corporal, nível de atividade física e consumo de frutas, legumes e vegetais de trabalhadores. Para tanto, foi conduzida uma busca nas bases de dados PubMed, CINAHL, EMBASE, LILACS e Cochrane Library. Onze ensaios clínicos randomizados atenderam aos critérios de elegibilidade, aos quais foi aplicado o instrumento de avaliação de risco de viés da Colaboração Cochrane e extraídas as informações relevantes de cada estudo. Encontrou-se associação de efeito na direção esperada para peso corporal, atividade física e consumo de frutas, legumes e vegetais. No entanto, 72,7% dos estudos (n=8) apresentaram alto risco de viés. Assim, conclui-se que as evidências para responder à pergunta desta revisão são limitadas e, portanto, sugere-se que mais estudos sejam realizados, considerando-se a transparência no relato das evidências e o rigor metodológico recomendado para sua execução. / The expanding outbreak of obesity has stimulated health professionals to search for interventions capable to encompass a large number of individuals in a cost-effective manner. Worksite Wellness Programs have been pointed out as important tools for the promotion of workers\' health and quality of life. In this context, Health and Wellness Coaching is emerging as a promising component of the interventions developed in such programs, leveraging achievement of positive and permanent results on behavior change for a healthy lifestyle. Under such perspective the purpose of this review is to verify the effect of Health and Wellness Coaching on workers\' body weight, physical activity and consumption of fruits and vegetables. Therefore, a survey was conducted in PubMed, CINAHL, EMBASE, LILACS and Cochrane Library databases. Eleven studies met the selection criteria of this research. The risk of bias analysis tool developed by Cochrane collaboration was applied, and the relevant data were extracted from each study The analysis of results of such studies demonstrated association of positive effect for the increase of workers\' physical activity, body weight and fruits and vegetables intake. Nevertheless, 72,8% of the studies (n=8) showed a high risk of bias. So the conclusion is that the evidences found are not enough to answer the proposed question. Further studies are necessary in order to gather consistent data raised with the required methodological rigor.

A crescente epidemia de obesidade tem incentivado profissionais da saúde a procurar por intervenções que possam atingir um grande número de indivíduos de maneira custo-efetiva. Os Programas de Qualidade de Vida no Trabalho vêm sendo apontados como ferramentas importantes para a promoção da saúde e qualidade de vida. Neste contexto, o Coaching em Saúde e Bem Estar vem despontando como um componente promissor nas intervenções desenvolvidas nestes programas, de modo a atingir resultados positivos e permanentes para mudança de comportamento para um estilo de vida saudável. Desta forma, o propósito desta revisão é verificar o efeito do Coaching em Saúde e Bem Estar sobre o peso corporal, nível de atividade física e consumo de frutas, legumes e vegetais de trabalhadores. Para tanto, foi conduzida uma busca nas bases de dados PubMed, CINAHL, EMBASE, LILACS e Cochrane Library. Onze ensaios clínicos randomizados atenderam aos critérios de elegibilidade, aos quais foi aplicado o instrumento de avaliação de risco de viés da Colaboração Cochrane e extraídas as informações relevantes de cada estudo. Encontrou-se associação de efeito na direção esperada para peso corporal, atividade física e consumo de frutas, legumes e vegetais. No entanto, 72,7% dos estudos (n=8) apresentaram alto risco de viés. Assim, conclui-se que as evidências para responder à pergunta desta revisão são limitadas e, portanto, sugere-se que mais estudos sejam realizados, considerando-se a transparência no relato das evidências e o rigor metodológico recomendado para sua execução. / The expanding outbreak of obesity has stimulated health professionals to search for interventions capable to encompass a large number of individuals in a cost-effective manner. Worksite Wellness Programs have been pointed out as important tools for the promotion of workers\' health and quality of life. In this context, Health and Wellness Coaching is emerging as a promising component of the interventions developed in such programs, leveraging achievement of positive and permanent results on behavior change for a healthy lifestyle. Under such perspective the purpose of this review is to verify the effect of Health and Wellness Coaching on workers\' body weight, physical activity and consumption of fruits and vegetables. Therefore, a survey was conducted in PubMed, CINAHL, EMBASE, LILACS and Cochrane Library databases. Eleven studies met the selection criteria of this research. The risk of bias analysis tool developed by Cochrane collaboration was applied, and the relevant data were extracted from each study The analysis of results of such studies demonstrated association of positive effect for the increase of workers\' physical activity, body weight and fruits and vegetables intake. Nevertheless, 72,8% of the studies (n=8) showed a high risk of bias. So the conclusion is that the evidences found are not enough to answer the proposed question. Further studies are necessary in order to gather consistent data raised with the required methodological rigor.