Disseminating Evidence-Based Interventions in Small, Low-Wage Worksites: A Randomized Controlled Trial in King County, Washington (2014-2017).

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Health Behavior*; Health Promotion/*organization & administration ; Occupational Health Services/*organization & administration ; Small Business/*organization & administration ; Workplace/*organization & administration; Adolescent ; Adult ; Aged ; Evidence-Based Medicine ; Female ; Health Promotion/statistics & numerical data ; Humans ; Male ; Middle Aged ; Occupational Health Services/statistics & numerical data ; Program Evaluation ; Small Business/statistics & numerical data ; Washington ; Workplace/statistics & numerical data ; Young Adult

Objectives. To determine whether (1) participating in HealthLinks , and (2) adding wellness committees to HealthLinks increases worksites' evidence-based intervention (EBI) implementation. Methods. We developed HealthLinks to disseminate EBIs to small, low-wage worksites. From 2014 to 2017, we conducted a site-randomized trial in King County, Washington, with 68 small worksites (20-200 employees). We assigned worksites to 1 of 3 arms: HealthLinks , HealthLinks plus wellness committee ( HealthLinks+ ), or delayed control. At baseline, 15 months, and 24 months, we assessed worksites' EBI implementation on a 0% to 100% scale and employees' perceived support for their health behaviors. Results. Postintervention EBI scores in both intervention arms ( HealthLinks and HealthLinks+ ) were significantly higher than in the control arm at 15 months (51%, 51%, and 23%, respectively) and at 24 months (33%, 37%, and 24%, respectively; P  < .001). Employees in the intervention arms perceived greater support for their health at 15 and 24 months than did employees in control worksites. Conclusions. HealthLinks is an effective strategy for disseminating EBIs to small worksites in low-wage industries. Public Health Implications. Future research should focus on scaling up HealthLinks , improving EBI maintenance, and measuring impact of these on health behavior.

Am J Health Promot. 2012 Nov-Dec;27(2):103-10. (PMID: 23113780)
Am J Public Health. 2008 Aug;98(8):1503-9. (PMID: 18048790)
Am J Health Promot. 2009 May-Jun;23(5):1-10, iii. (PMID: 19445440)
Contemp Clin Trials. 2016 May;48:1-11. (PMID: 26946121)
Am J Health Promot. 2018 Feb;32(2):359-373. (PMID: 28893085)
Health Educ Behav. 2018 Oct;45(5):690-696. (PMID: 29658314)
Annu Rev Public Health. 2014;35:327-42. (PMID: 24387086)
Am J Health Promot. 2015 Jul-Aug;29(6):384-92. (PMID: 25162321)
J Occup Environ Med. 2012 Nov;54(11):1337-43. (PMID: 23090160)
Prev Chronic Dis. 2012;9:E83. (PMID: 22480612)
Am J Health Promot. 2007 Jul-Aug;21(6):521-8. (PMID: 17674640)
J Occup Environ Med. 2011 Feb;53(2):132-8. (PMID: 21270663)
Obesity (Silver Spring). 2007 Nov;15 Suppl 1:4S-15S. (PMID: 18073337)
Am J Health Promot. 2015 Jan-Feb;29(3):139-46. (PMID: 25559250)
J Occup Environ Med. 2014 Jun;56(6):579-87. (PMID: 24905421)
Prev Chronic Dis. 2015 Oct 08;12:E172. (PMID: 26447549)

R01 CA160217 United States CA NCI NIH HHS; U48DP005013 United States ACL ACL HHS

Date Created: 20191018 Date Completed: 20200318 Latest Revision: 20210110

20221213

PMC6836801

10.2105/AJPH.2019.305313

31622155