Durability, dissemination, and institutionalization of worksite tobacco control programs: results from the Working Well trial.
Durability, dissemination and institutionalization o f tobacco control activities are reported, based on the Working Well worksite cancer control intervention study (n = 83 worksites). Tobacco control activities increased significantly in intervention worksites as a result of research-supported activities but were not sustained 2 years after the conclusion of the intervention. Intervention sites were more likely than control sites to initiate and maintain structures for institutionalizing programs, such as assigning a committee responsibility for health-promotion programs or providing a budget for health-promoting activities. Dissemination of the program to control worksites had little impact on the level of smoking control activities in control worksites. Although program durability was not a primary aim of this intervention study, these analyses provide an important assessment of program maintenance beyond a funded intervention and underscore the need for additional research to identify effective organizational strategies for institutionalization of worksite health-promotion programs.
Sorensen
G
G
Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA 02115, USA.
Thompson
B
B
Basen-Engquist
K
K
Abrams
D
D
Kuniyuki
A
A
DiClemente
C
C
Biener
L
L