title: Factors in adoption of a fire department wellness program: champ-and-chief model.
abstract: OBJECTIVE
  To identify and evaluate determinants of fire departments' wellness program adoption.
  
  
  METHODS
  The Promoting Healthy Lifestyles: Alternative Models' Effects fire service wellness program was offered for free to all medium-sized fire departments in Oregon and Washington. An invitation to participate was mailed to key fire department decision makers (chief, union president, and wellness officer). These key decision makers from 12 sites that adopted the program and 24 matched nonadopting sites were interviewed and results were analyzed to define adoption determinants.
  
  
  RESULTS
  Three adoption requirements were identified: (1) mailer connection, (2) local firefighter wellness champion, and (3) willing fire chief, whereas a fourth set of organizational factors had little or no impact on adoption including previous and ongoing wellness activities, financial pressures, and resistance to change.
  
  
  CONCLUSIONS
  Findings identified determinants of medium-sized fire service wellness program adoption.
authors.affiliation: Department of Medicine, Division of Health Promotion and Sports Medicine, Oregon Health and Science University, Portland, OR 97239, USA.
authors.forename: Hannah
authors.initials: H
authors.lastname: Kuehl
authors.forename: Linda
authors.initials: L
authors.lastname: Mabry
authors.forename: Diane L
authors.initials: DL
authors.lastname: Elliot
authors.forename: Kerry S
authors.initials: KS
authors.lastname: Kuehl
authors.forename: Kim C
authors.initials: KC
authors.lastname: Favorite
mesh_terms: D061388:Firefighters; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D016272:Occupational Health; D009922:Oregon; D011446:Prospective Studies; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D014861:Washington