title: The Worksite Heart Health Improvement Project (WHHIP): feasibility and efficacy.
abstract: OBJECTIVE
  Test the feasibility and efficacy of the Worksite Heart Health Improvement Project (WHHIP).
  
  
  METHODS
  The WHHIP was a quasi-experimental 6-month pilot performed in 2 long-term care facilities.
  
  
  METHODS
  Thirty-nine female minority nursing assistants participated in this study with a mean age of 42.39 (SD = 12.79) years.
  
  
  METHODS
  Measures were collected at baseline, 3, and 6 months and included blood pressure, lipid panel, body mass index, physical activity levels, diet behaviors, depressive symptoms, and self-efficacy outcomes.
  
  
  METHODS
  The 3-month WHHIP intervention included 3 components: environmental and policy assessment; education; and on-going motivation. The control site received education only.
  
  
  RESULTS
  Subject participation averaged 47% and 58% in exercise and diet related activities, respectively. Generalized estimating equations showed the treatment group showed significant improvements in depressive symptoms (p = .012), systolic blood pressure (p = .028), total cholesterol (p = .002) and triglycerides (p = .011) over time. The treatment group also showed trends for improvement in diet behaviors (p = .069) and diastolic blood pressure (p = .073).
  
  
  CONCLUSIONS
  This study provided feasibility evidence for the WHHIP and preliminary evidence that the WHHIP can improve heart healthy behaviors and subsequent outcomes among nursing assistants in long-term care settings.
authors.affiliation: University of Maryland Baltimore, School of Nursing, Baltimore, MD 21201, USA. Kflan001@son.umaryland.edu
authors.forename: Kelly
authors.initials: K
authors.lastname: Flannery
authors.forename: Barbara
authors.initials: B
authors.lastname: Resnick
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Galik
authors.forename: Jane
authors.initials: J
authors.lastname: Lipscomb
authors.forename: Kathleen
authors.initials: K
authors.lastname: McPhaul
authors.forename: Marianne
authors.initials: M
authors.lastname: Shaughnessy
mesh_terms: D000328:Adult; D001741:Black or African American; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003863:Depression; D004032:Diet; D004493:Education; D005240:Feasibility Studies; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006630:Hispanic or Latino; D006801:Humans; D008055:Lipids / Q000097:blood; D008134:Long-Term Care; D008875:Middle Aged; D009042:Motivation; D009728:Nursing Assistants; D010865:Pilot Projects; D020377:Self Efficacy; D017132:Workplace
chemical_list: D008055:Lipids