title: Promoting behavior change among working-class, multiethnic workers: results of the healthy directions--small business study.
abstract: OBJECTIVE
  We examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses.
  
  
  METHODS
  Worksites were randomly assigned to an intervention or minimal-intervention control condition. The intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin use, and physical activity.
  
  
  RESULTS
  Employees in the intervention group showed greater improvements for every outcome compared with employees in the control group. Differences in improvement were statistically significant for multivitamin use and physical activity. Intervention effects were larger among workers than among managers for fruit and vegetable consumption and for physical activity.
  
  
  CONCLUSIONS
  The social-context model holds promise for reducing disparities in health behaviors. Further research is needed to improve the effectiveness of the intervention.
authors: Dana-Farber Cancer Institute, Center for Community-Based Research, 44 Binney St, Boston MA 02115, USA. glorian_sorensen@dfci.harvard.edu
authors: Glorian
authors: G
authors: Sorensen
authors: Elizabeth
authors: E
authors: Barbeau
authors: Anne M
authors: AM
authors: Stoddard
authors: Mary Kay
authors: MK
authors: Hunt
authors: Kimberly
authors: K
authors: Kaphingst
authors: Lorraine
authors: L
authors: Wallace
mesh_terms: D000328:Adult; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D009043:Motor Activity; D009369:Neoplasms / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D009752:Nutritional Status; D009786:Occupational Health Services / Q000458:organization & administration*; D018570:Risk Assessment; D012923:Social Class; D014481:United States / Q000453:epidemiology; D017132:Workplace