Local Health Jurisdiction Staff Deliver Health Promotion to Small Worksites, Washington.

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  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract
    • Publication Information:
      Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
      Original Publication: Frederick, MD : Aspen Publishers, c1995-
    • Subject Terms:
      Health Promotion* ; Workplace*; Diet, Healthy ; Exercise ; Humans ; Washington
    • Abstract:
      Context: Worksites can serve as community sites for local health jurisdictions (LHJs) to assist with implementation of evidence-based interventions (EBIs) to prevent and control chronic diseases.
      Objective: To assess the feasibility and effectiveness of using LHJ staff to disseminate Connect to Wellness (CtW), an effective dissemination package for increasing implementation of EBIs for chronic disease control by small worksites.
      Design: Single-arm, multisite intervention trial, with measurement at baseline, after 6 months of intervention, and after a maintenance period of 6 months.
      Setting: Six geographically dispersed counties in Washington State. Target worksites had 20 to 250 employees.
      Participants: Nine staff members from 6 LHJs delivered CtW to 35 worksites.
      Intervention: Connect to Wellness seeks to increase worksites' implementation of 14 EBIs classified as communication, policy, or program approaches to increasing 4 behaviors: cancer screening, healthy eating, physical activity, and tobacco cessation.
      Main Outcome Measure: Evidence-based intervention implementation measured on a scale from 0% to 100%.
      Results: Participating worksites showed a significant increase (P < .001, t test) in total mean implementation scores from baseline (33%) to 6-month follow-up (47%). Increases in implementation for communications, policy, healthy eating, and tobacco EBIs were statistically significant at 6 months and maintained at 12 months. Increased implementation at 6 months of a group physical activity program was not sustained after the program became unavailable, and total implementation scores at 12 months (38%) showed little change from baseline.
      Conclusions: Local health jurisdiction-delivered CtW increased worksites' implementation of EBIs at 6 months, and increased implementation in communication, policy, healthy eating, and tobacco was maintained at 12 months. This package, delivered by LHJ staff working part-time on CtW, was nearly as successful as prior delivery by staff working full-time on CtW.
      Competing Interests: The authors declare no conflicts of interest.
      (Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc.)
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    • Grant Information:
      U48 DP005013 United States DP NCCDPHP CDC HHS; U48 DP006398 United States DP NCCDPHP CDC HHS; U48DP005013 United States ACL ACL HHS
    • Publication Date:
      Date Created: 20191119 Date Completed: 20211015 Latest Revision: 20240330
    • Publication Date:
      20240330
    • Accession Number:
      PMC7220816
    • Accession Number:
      10.1097/PHH.0000000000001105
    • Accession Number:
      31738191