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Local-health-jurisdiction staff deliver health promotion to small worksites, Washington
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3 2021
Source: J Public Health Manag Pract. 27(2):117-124 -
Alternative Title:J Public Health Manag Pract
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Description:Context
Worksites can serve as community sites for local health jurisdictions (LHJs) to assist with implementation of evidence-based interventions (EBIs) to prevent and control chronic diseases.
Objective
To assess the feasibility and effectiveness of using LHJ staff to disseminate Connect to Wellness (CtW), an effective dissemination package for increasing implementation of EBIs for chronic-disease control by small worksites.
Design
Single-arm, multi-site intervention trial, with measurement at baseline, after 6 months of intervention, and after a maintenance period of 6 months.
Setting
Six geographically dispersed counties in Washington State. Target worksites had 20–250 employees.
Participants
Nine staff members from six LHJs delivered CtW to 35 worksites.
Intervention
CtW seeks to increase worksites’ implementation of 14 EBIs classified as communication, policy, or program approaches to increasing four behaviors: cancer screening, healthy eating, physical activity, and tobacco cessation.
Main Outcome Measure
EBI implementation measured on a scale from 0% to 100%.
Results
Participating worksites showed a significant increase (p <0.001, t-test) in total mean implementation scores from baseline (33%) to 6-month follow-up (47%). Increases in implementation for communications, policy, healthy eating, and tobacco EBIs were statistically significant at 6 months and maintained at 12 months. Increased implementation at 6 months of a group physical-activity program was not sustained after the program became unavailable, and total implementation scores at 12 months (38%) showed little change from baseline.
Conclusions
LHJ-delivered CtW increased worksites’ implementation of EBIs at 6 months, and increased implementation in communication, policy, healthy eating, and tobacco was maintained at 12 months. This package, delivered by LHJ staff working part-time on CtW, was nearly as successful as prior delivery by staff working full-time on CtW.
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Subject:
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Pubmed ID:31738191
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Pubmed Central ID:PMC7220816
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