Workplace health and safety intervention for child care staff: Rationale, design, and baseline results from the CARE cluster randomized control trial

Details

• Alternative Title:
  Contemp Clin Trials
• Personal Author:
  Ward, Dianne S. ; Vaughn, Amber E. ; Hales, Derek ; Viera, Anthony J. ; Gizlice, Ziya ; Bateman, Lori A. ; Grummon, Anna H. ; Arandia, Gabriela ; Linnan, Laura A.
• Description:
  Background
  
  Low-wage workers suffer disproportionately high rates of chronic disease and are important targets for workplace health and safety interventions. Child care centers offer an ideal opportunity to reach some of the lowest paid workers, but these settings have been ignored in workplace intervention studies.
  
  Methods
  
  Caring and Reaching for Health (CARE) is a cluster-randomized controlled trial evaluating efficacy of a multi-level, workplace-based intervention set in child care centers that promotes physical activity and other health behaviors among staff. Centers are randomized (1:1) into the Healthy Lifestyles (intervention) or the Healthy Finances (attention control) program. Healthy Lifestyles is delivered over six months including a kick-off event and three 8-week health campaigns (magazines, goal setting, behavior monitoring, tailored feedback, prompts, center displays, director coaching). The primary outcome is minutes of moderate and vigorous physical activity (MVPA); secondary outcomes are health behaviors (diet, smoking, sleep, stress), physical assessments (body mass index (BMI), waist circumference, blood pressure, fitness), and workplace supports for health and safety.
  
  Results
  
  In total, 56 centers and 553 participants have been recruited and randomized. Participants are predominately female (96.7%) and either Non-Hispanic African American (51.6%) or Non-Hispanic White (36.7%). Most participants (63.4%) are obese. They accumulate 17.4 ( ± 14.2) minutes/day of MVPA and consume 1.3 ( ± 1.4) and 1.3 ( ± 0.8) servings/day of fruits and vegetables, respectively. Also, 14.2% are smokers; they report 6.4 ( ± 1.4) hours/night of sleep; and 34.9% are high risk for depression.
  
  Conclusions
  
  Baseline data demonstrate several serious health risks, confirming the importance of workplace interventions in child care.
  
  
• Subjects:
  Adult Article Child Child Care Child Day Care Centers Exercise Female Health Behavior Health Promotion Healthy Lifestyle Humans Male Middle Aged Needs Assessment Occupational Stress Personnel Management Physical Activity Risk Factors Worker Health Workplace Worksite

  More +
• Source:
  Contemp Clin Trials. 68:116-126
• Pubmed ID:
  29501740
• Pubmed Central ID:
  PMC5944351
• Document Type:
  Journal Article
• Funding:
  P30 DK056350/DK/NIDDK NIH HHSUnited States/ ; R01 HL119568/HL/NHLBI NIH HHSUnited States/ ; U48DP005017/ACL/ACL HHSUnited States/ ; U48 DP005017/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  68
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:43e635fbd3db0573ddba84975ec360469c115499cb7febdf295a8b42208db285
• Download URL:
  https://stacks.cdc.gov/view/cdc/79489/cdc_79489_DS1.pdf
• File Type:
  [PDF - 542.22 KB ]