Process evaluation of an integrated health promotion/occupational health model in WellWorks-2.
Disparities in chronic disease risk by occupation call for new approaches to health promotion. Well Works-2 was a randomized, controlled study comparing the effectiveness of a health promotion/occupational health program (HP/OHS) with a standard intervention (HP). Interventions in both studies were based on the same theoretical foundations. Results from process evaluation revealed that a similar number of activities were offered in both conditions and that in the HP/OHS condition there were higher levels of worker participation using three measures: mean participation per activity (HP: 14.2% vs. HP/OHS: 21.2%), mean minutes of worker exposure to the intervention/site (HP: 14.9 vs. HP/OHS: 33.3), and overall mean participation per site (HP: 34.4% vs. HP/ OHS: 45.8%). There were a greater number of contacts with management (HP: 8.8 vs. HP/OHS: 24.9) in the HP/ OHS condition. Addressing occupational health may have contributed to higher levels of worker and management participation and smoking cessation among blue-collar workers.
Hunt
Mary Kay
MK
Dana-Farber Cancer Institute, Center for Community Based Research, Boston, MA, USA. huntmk@comcast.net
Lederman
Ruth
R
Stoddard
Anne M
AM
LaMontagne
Anthony D
AD
McLellan
Deborah
D
Combe
Candace
C
Barbeau
Elizabeth
E
Sorensen
Glorian
G
D004032:Diet; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D016272:Occupational Health; D010358:Patient Participation / Q000379:methods; D017064:Process Assessment, Health Care; D015397:Program Evaluation; D016540:Smoking Cessation / Q000379:methods; D012959:Socioeconomic Factors