title: Early Success Is Vital in Minimal Worksite Wellness Interventions at Small Worksites.
abstract: METHODS
  In an effort to increase physical activity, 15 workplaces participated in a minimal-contact 10,000-steps-a-day program sponsored by the Sedgwick County Health Department in 2007 and 2008. Pedometers were provided to measure participants' weekly steps for the 10-week intervention.
  
  
  METHODS
  Participants were defined as those who completed the preregistration survey and logged at least 1 week of results. Registrants were defined as those who completed a registration survey but did not log any weekly results. The primary dependent variable was whether or not participants achieved weekly success, as measured by achieving at least 70,000 steps in a week. A secondary dependent variable was participants' number of steps each week during the weeks they logged results. Repeated measures logistic regression analysis was conducted to identify factors associated with weekly success.
  
  
  RESULTS
  Of the 2,515 registrants, 1,292 (51%) were participants. The average number of weeks of participation for this 10-week intervention was 5.6 weeks (SD = 3.4). Those from small employers (n < 750) were more likely (OR = 2.0) than those from large organizations (n > 750) to become participants. Participants who achieved at least 70,000 steps in the first week of the intervention were 7.3 times more likely than participants who walked less than 70,000 steps in the first week to achieve 70,000 steps each week for all 10 weeks.
  
  
  CONCLUSIONS
  Results from implementing a minimal-contact 10,000-step intervention can be maximized by targeting small worksites and supporting employees to achieve 70,000 steps in their first week.
authors.affiliation: University of Kansas School of Medicine-Wichita, KS, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Ablah
authors.affiliation: University of Kansas School of Medicine-Wichita, KS, USA.
authors.forename: Frank
authors.initials: F
authors.lastname: Dong
authors.affiliation: University of Kansas School of Medicine-Wichita, KS, USA kkonda@kumc.edu.
authors.forename: Kurt
authors.initials: K
authors.lastname: Konda
authors.affiliation: University of Kansas School of Medicine-Wichita, KS, USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: Konda
authors.affiliation: Sedgwick County Health Department, Wichita, KS, USA.
authors.forename: Sonja
authors.initials: S
authors.lastname: Armbruster
authors.affiliation: Sedgwick County Health Department, Wichita, KS, USA.
authors.forename: Becky
authors.initials: B
authors.lastname: Tuttle
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D005260:Female; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009786:Occupational Health Services / Q000458:organization & administration; D015397:Program Evaluation; D017132:Workplace / Q000458:organization & administration; D055815:Young Adult
keywords: 10,000 steps; participation; pedometer; small worksite; stages of change; worksite wellness