Changing organizational culture: using the CEO cancer gold standard policy initiatives to promote health and wellness at a school of public health.
BACKGROUND
Worksite wellness initiatives for health promotion and health education have demonstrated effectiveness in improving employee health and wellness. We examined the effects of a multifaceted health promotion campaign on organizational capacity to meet requirements to become CEO Cancer Gold Standard Accredited.


METHODS
We conducted an online survey to assess perceived organizational values and support for the five CEO Cancer Gold Standard Pillars for cancer prevention: tobacco cessation; physical activity; nutrition; cancer screening and early detection; and accessing information on cancer clinical trials. Baseline and follow-up surveys were sent 6-months apart to faculty, staff, and students at a school of public health to test the impact of a multifaceted health promotion campaign on perceived organizational change. Descriptive analyses were used to characterize percent improvement. Multivariate logistic regression analyses were used to control for participants' university status.


RESULTS
The current organizational culture highly supported tobacco cessation at both time points. Significant improvements (p < .05) from baseline to follow-up were observed for questions measuring organizational values for 'prevention, screening, and early detection of cancer' and 'accessing cancer treatment and clinical trials'.


CONCLUSIONS
Health promotion and education efforts using multiple approaches were effective to improve perceived organizational values and support for cancer prevention and early detection, and increase access to information about cancer clinical trials. Future studies are needed to examine broader impacts of implementing worksite health promotion initiatives.
Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Public Health, 1266 TAMU, College Station, TX, 77843-1266, USA. towne@sph.tamhsc.edu.
Samuel D
SD
Towne
Department of Health Policy and Management, Texas A&M Health Science Center School of Public Health, College Station, TX, 77843-1266, USA. kander10@sph.tamhsc.edu.
Kelsey E
KE
Anderson
Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Public Health, 1266 TAMU, College Station, TX, 77843-1266, USA. health@uga.edu.|Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA, 30602, USA. health@uga.edu.
Matthew Lee
ML
Smith
Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Public Health, 1266 TAMU, College Station, TX, 77843-1266, USA. deborahvd@gmail.com.
Deborah Vollmer
DV
Dahlke
Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Public Health, 1266 TAMU, College Station, TX, 77843-1266, USA. kellstedt@sph.tamhsc.edu.
Debra
D
Kellstedt
Texas A&M AgriLife Extension Service, Texas A&M University, College Station, TX, 77843-1266, USA. NCPurcell@ag.tamu.edu.
Ninfa Pena
NP
Purcell
Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Public Health, 1266 TAMU, College Station, TX, 77843-1266, USA. MOry@sph.tamhsc.edu.
Marcia G
MG
Ory
D004032:Diet; D055088:Early Detection of Cancer; D015444:Exercise; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000517:prevention & control*; D016272:Occupational Health; D015279:Organizational Culture; D009936:Organizational Innovation; D057766:Policy; D012581:Schools, Public Health / Q000458:organization & administration*; D016540:Smoking Cessation; D012959:Socioeconomic Factors; D013334:Students; D017132:Workplace