title: Using formative research to develop environmental and ecological interventions to address overweight and obesity.
abstract: OBJECTIVE
  This paper presents the formative research phase of a large multi-site intervention study conducted to inform the feasibility of introducing environmental and ecological interventions.
  
  
  METHODS
  Using mixed methods that included an environmental assessment, climate survey, leadership focus groups and interviews, and archival data, information was collected on employee health and job factors, the physical environment, social-organizational environment, and current health programs.
  
  
  RESULTS
  Results show that 83% of employees at the study sites were overweight or obese. Leadership was very supportive of health initiatives and felt integrating the strategies into organizational operations would increase their likelihood of success. Environmental assessment scores ranged from 47 to 19 on a 100-point scale. Health services personnel tended to view the organizational climate for health more positively than site leadership (mean of 3.6 vs. 3.0, respectively).
  
  
  CONCLUSIONS
  Intervention strategies chosen included increasing healthy food choices in vending, cafeterias, and company meetings, providing a walking path, targeting messages, developing site goals, training leaders, and establishing leaders at the work group level.
authors: Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA 30602-6522, USA. mwilson@uga.edu
authors: Mark G
authors: MG
authors: Wilson
authors: Ron Z
authors: RZ
authors: Goetzel
authors: Ronald J
authors: RJ
authors: Ozminkowski
authors: Dave M
authors: DM
authors: DeJoy
authors: Lindsay
authors: L
authors: Della
authors: Enid Chung
authors: EC
authors: Roemer
authors: Jennifer
authors: J
authors: Schneider
authors: Karen J
authors: KJ
authors: Tully
authors: John M
authors: JM
authors: White
authors: Catherine M
authors: CM
authors: Baase
mesh_terms: D000328:Adult; D002617:Chemical Industry / Q000458:organization & administration; D004463:Ecology; D004777:Environment; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D005522:Food Services; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000517:prevention & control* / Q000628:therapy; D009786:Occupational Health Services; D012106:Research; D012931:Social Environment; D017132:Workplace