Similar to the growth of EAPs, workplace health promotion and wellness programs have widely proliferated over the past few decades and are considered beneficial approaches to reducing absenteeism,controlling health care costs, improving productivity, and retaining workers. In a study of the utility of the organizational context for investigating rates of worker participation in worksite wellness activities reported a positive association between higher levels of management support for activities, promotional marketing of the health benefits of wellness activities, and ease of accessibility to employees and noted that understanding the reasons for limited participation in such initiatives will likely lead to more effective programming and increase their cost–benefit ratios.