title: Worksite health promotion in six varied US sites: beta testing as a needed translational step.
abstract: BACKGROUND
  Dissemination of health promotion interventions generally has followed an efficacy, effectiveness to full scale paradigm, and most programs have failed to traverse that sequence.
  
  
  OBJECTIVE
  Report national dissemination of a health promotion program and juxtapose sequential case study observations with the current technology transfer literature.
  
  
  METHODS
  Multiple department-level case studies using contact logs, transcribed interactions, augmented with field notes and validated by respondent review; at least two investigators independently generated site summaries, which were compared to formulate a final report.
  
  
  RESULTS
  Adoption was facilitated with national partners and designing branded materials. Critical site influences included departmental features, local champions, and liaison relationships. Achieving distal reach and fidelity required sequential process and program revisions based on new findings at each site.
  
  
  CONCLUSIONS
  Beta testing to redesign program elements and modify process steps appears to be a needed and often ignored translational step between efficacy and more widespread dissemination.
authors.affiliation: Division of Health Promotion & Sports Medicine, Oregon Health & Science University, CR110 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA. elliotd@ohsu.edu
authors.forename: Diane L
authors.initials: DL
authors.lastname: Elliot
authors.forename: Kerry S
authors.initials: KS
authors.lastname: Kuehl
authors.forename: Linn
authors.initials: L
authors.lastname: Goldberg
authors.forename: Carol A
authors.initials: CA
authors.lastname: DeFrancesco
authors.forename: Esther L
authors.initials: EL
authors.lastname: Moe
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D061388:Firefighters; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D009786:Occupational Health Services / Q000379:methods*; D010353:Patient Education as Topic; D014481:United States; D017132:Workplace