Worksite Wellness Program Implementation: a Model of Translational Effectiveness

Overview

Journal Transl Behav Med

Publisher Oxford University Press

Specialties General Medicine
Public Health
Social Sciences

Date 2013 Sep 28

PMID 24073114

Citations 4

Authors

Diane L Elliot

David P MacKinnon

Linda Mabry

Yasemin Kisbu-Sakarya

Carol A Defrancesco

Stephany J Coxe

Kerry S Kuehl

Esther L Moe

Linn Goldberg

Kim C Favorite

Affiliations

Soon will be listed here.

Abstract

Occupational health promotion programs with documented efficacy have not penetrated worksites. Establishing an implementation model would allow focusing on mediating aspects to enhance installation and use of evidence-based occupational wellness interventions. The purpose of the study was to implement an established wellness program in fire departments and define predictors of program exposure/dose to outcomes to define a cross-sectional model of translational effectiveness. The study is a prospective observational study among 12 NW fire departments. Data were collected before and following installation, and findings were used to conduct mediation analysis and develop a translational effectiveness model. Worker age was examined for its impact. Leadership, scheduling/competing demands, and tailoring were confirmed as model components, while organizational climate was not a factor. The established model fit data well (χ (2)(9) = 25.57, CFI = 0.99, RMSEA = 0.05, SRMR = 0.03). Older firefighters, nearing retirement, appeared to have influences that both enhanced and hindered participation. Findings can inform implementation of worksite wellness in fire departments, and the prioritized influences and translational model can be validated and manipulated in these and other settings to more efficiently move health promotion science to service.

Citing Articles

Healthy Team Healthy U: A Prospective Validation of an Evidence-Based Worksite Health Promotion and Wellness Platform.

Goldberg L, Lockwood C, Garg B, Kuehl K Front Public Health. 2015; 3:188.

PMID: 26301210 PMC: 4524273. DOI: 10.3389/fpubh.2015.00188.

Changing behavior throughout the life-course: Translating the success of aging research.

Ory M, Smith M, Resnick B Transl Behav Med. 2013; 2(2):159-62.

PMID: 24073108 PMC: 3717898. DOI: 10.1007/s13142-012-0129-4.

Understanding the durability of a fire department wellness program.

Mabry L, Elliot D, MacKinnon D, Thoemmes F, Kuehl K Am J Health Behav. 2013; 37(5):693-702.

PMID: 23985292 PMC: 3761399. DOI: 10.5993/AJHB.37.5.13.

Factors in adoption of a fire department wellness program: champ-and-chief model.

Kuehl H, Mabry L, Elliot D, Kuehl K, Favorite K J Occup Environ Med. 2013; 55(4):424-9.

PMID: 23302702 PMC: 3622825. DOI: 10.1097/JOM.0b013e31827dba3f.

References

Aber L, Brown J, Jones S, Berg J, Torrente C . School-based strategies to prevent violence, trauma, and psychopathology: the challenges of going to scale. Dev Psychopathol. 2013; 23(2):411-21. DOI: 10.1017/S0954579411000149. View

Elliot D, Kerry K, Moe E, Defrancesco C, Goldberg L, MacKinnon D . The IGNITE (investigation to guide new insight into translational effectiveness) trial: Protocol for a translational study of an evidenced-based wellness program in fire departments. Implement Sci. 2010; 5:73. PMC: 2959080. DOI: 10.1186/1748-5908-5-73. View

Stith S, Pruitt I, Dees J, Fronce M, Green N, Som A . Implementing community-based prevention programming: a review of the literature. J Prim Prev. 2006; 27(6):599-617. DOI: 10.1007/s10935-006-0062-8. View

Riley B, Taylor S, Elliott S . Determinants of implementing heart health: promotion activities in Ontario public health units: a social ecological perspective. Health Educ Res. 2001; 16(4):425-41. DOI: 10.1093/her/16.4.425. View

Lang I, Rice N, Wallace R, Guralnik J, Melzer D . Smoking cessation and transition into retirement: analyses from the English Longitudinal Study of Ageing. Age Ageing. 2007; 36(6):638-43. DOI: 10.1093/ageing/afm119. View

Elliot D, Kuehl K, Goldberg L, Defrancesco C, Moe E . Worksite health promotion in six varied US sites: beta testing as a needed translational step. J Environ Public Health. 2011; 2011:797646. PMC: 3103973. DOI: 10.1155/2011/797646. View

Ostlund U, Kidd L, Wengstrom Y, Rowa-Dewar N . Combining qualitative and quantitative research within mixed method research designs: a methodological review. Int J Nurs Stud. 2010; 48(3):369-83. PMC: 7094322. DOI: 10.1016/j.ijnurstu.2010.10.005. View

Ringwalt C, Ennett S, Johnson R, Rohrbach L, Simons-Rudolph A, Vincus A . Factors associated with fidelity to substance use prevention curriculum guides in the nation's middle schools. Health Educ Behav. 2009; 30(3):375-91. DOI: 10.1177/1090198103030003010. View

Della L, DeJoy D, Goetzel R, Ozminkowski R, Wilson M . Assessing management support for worksite health promotion: psychometric analysis of the leading by example (LBE) instrument. Am J Health Promot. 2008; 22(5):359-67. PMC: 2743959. DOI: 10.4278/ajhp.22.5.359. View

10.

MacKinnon D, Elliot D, Thoemmes F, Kuehl K, Moe E, Goldberg L . Long-term effects of a worksite health promotion program for firefighters. Am J Health Behav. 2010; 34(6):695-706. DOI: 10.5993/ajhb.34.6.6. View

11.

Weiner B, Belden C, Bergmire D, Johnston M . The meaning and measurement of implementation climate. Implement Sci. 2011; 6:78. PMC: 3224582. DOI: 10.1186/1748-5908-6-78. View

12.

Moons K, Royston P, Vergouwe Y, Grobbee D, Altman D . Prognosis and prognostic research: what, why, and how?. BMJ. 2009; 338:b375. DOI: 10.1136/bmj.b375. View

13.

. Recommendations for worksite-based interventions to improve workers' health. Am J Prev Med. 2010; 38(2 Suppl):S232-6. DOI: 10.1016/j.amepre.2009.10.033. View

14.

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med. 2007; 4(10):e296. PMC: 2020495. DOI: 10.1371/journal.pmed.0040296. View

15.

Chapman L . Building a sustainable administrative infrastructure for worksite wellness programs. Am J Health Promot. 2009; 24(2):TAHP1-10, iii. DOI: 10.4278/ajhp.24.2.tahp. View

16.

Poland B, Krupa G, McCall D . Settings for health promotion: an analytic framework to guide intervention design and implementation. Health Promot Pract. 2009; 10(4):505-16. DOI: 10.1177/1524839909341025. View

17.

Johnson C, Lai Y, Rice J, Rose D, Webber L . ACTION live: using process evaluation to describe implementation of a worksite wellness program. J Occup Environ Med. 2010; 52 Suppl 1:S14-21. PMC: 2897048. DOI: 10.1097/JOM.0b013e3181c81ade. View

18.

Weiner B . A theory of organizational readiness for change. Implement Sci. 2009; 4:67. PMC: 2770024. DOI: 10.1186/1748-5908-4-67. View

19.

Escoffery C, Glanz K, Elliott T . Process evaluation of the Pool Cool Diffusion Trial for skin cancer prevention across 2 years. Health Educ Res. 2007; 23(4):732-43. PMC: 2733800. DOI: 10.1093/her/cym060. View

20.

Thaker S, Steckler A, Sanchez V, Khatapoush S, Rose J, Hallfors D . Program characteristics and organizational factors affecting the implementation of a school-based indicated prevention program. Health Educ Res. 2007; 23(2):238-48. DOI: 10.1093/her/cym025. View