title: Process evaluation of an occupational health guideline aimed at preventing weight gain among employees.
abstract: OBJECTIVE
  To evuate the process of an occupational health guideline aimed at preventing weight gain.
  
  
  METHODS
  Quantitative data on seven process items were assessed and linked to effects on employees' waist circumference and body weight at 6 months.
  
  
  RESULTS
  Occupational physicians (n = 7) implemented the guideline partly with respect to the environmental level, but performed well at the individual level. Behavioral change counseling was performed "to some extent." Employees (n = 274) showed high reach (86%), satisfaction (7.1), and attendance rates (4.4 of 5 sessions). Significant effects were found on waist circumference (-1.5 cm to -2.1 cm) and body weight (-0.9 kg to -1.4 kg) among employees with higher attendance and satisfaction rates.
  
  
  CONCLUSIONS
  Workplace health promotion via an occupational health guideline is feasible, but the environmental component and behavioral change counseling need revisions before practical application.
authors.affiliation: Department of Public and Occupational Health and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands.
authors.forename: Lisanne M
authors.initials: LM
authors.lastname: Verweij
authors.forename: Karin I
authors.initials: KI
authors.lastname: Proper
authors.forename: Carel T J
authors.initials: CT
authors.lastname: Hulshof
authors.forename: Willem
authors.initials: W
authors.lastname: van Mechelen
mesh_terms: D003376:Counseling; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D016272:Occupational Health; D017060:Patient Satisfaction; D017410:Practice Guidelines as Topic / Q000592:standards*; D055105:Waist Circumference; D015430:Weight Gain