Partnerships to expand worksite wellness programs - A qualitative analysis of state and local health department perspectives.
Partnerships to expand worksite wellness programs - A qualitative analysis of state and local health department perspectives.
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DOI：
10.1177/00469580221092822
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发表时间：
2022-01
影响因子：
1.7
通讯作者：
Hannon, Peggy A.
中科院分区：
文献类型：
--
作者：
Kava, Christine M.;Strait, Michelle;Brown, Meagan C.;Hammerback, Kristen;Harris, Jeffrey R.;Alongi, Jeanne;Hannon, Peggy A.
关键词：
心脏病、癌症和糖尿病等慢性病是美国死亡和残疾的主要原因。由于州和地方卫生部门 (HD) 的核心使命是保护、促进和改善人口健康，因此这些机构有能力解决慢性病的危险行为。 HD 与雇主的合作伙伴关系可以加强工作场所健康规划，但很少有研究探讨这一主题。基于之前发表的研究结果，这项定性研究的目的是描述 HD 实施工作场所健康计划的背景和环境，包括兴趣、障碍、促进因素和决策过程。我们对国家慢性病项目负责人进行了 12 次采访，对当地负责人进行了 21 次采访，并对当地工作人员进行了 3 个焦点小组采访。我们对数据进行了主题分析。主要主题包括以下内容：(1) HD 提供的工作场所健康计划在主题和范围上多种多样，并在内部（在其机构的 HD）和外部（为其他雇主）提供； (2) 有关慢性病预防的决策主要由资金优先事项驱动，联邦、州和地方实体在决策过程中发挥作用； (3) HD 对工作场所健康计划的实施表示潜在兴趣，具体取决于员工能力、可用资金和雇主的支持。我们的结果表明，应增加并重新分配用于慢性病预防（包括工作场所健康）的资金。为了克服 HD 计划实施的障碍，主要资助者和利益相关者应优先考虑并传达工作场所健康的重要性。
Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the U. S. Because the central mission of state and local health departments (HDs) is to protect, promote, and improve population health, these agencies are well-positioned to address risk behaviors for chronic disease. HD-employer partnerships could enhance worksite wellness programming, but few studies have explored this topic. Building upon previously published findings, the purpose of this qualitative study was to describe the context and environment for HDs’ delivery of worksite wellness programs, including interest, barriers, facilitators, and decision-making processes. We conducted 12 interviews with directors of state chronic disease programs, 21 interviews with local directors, and three focus groups with local staff. We performed a thematic analysis of the data. Key themes include the following: (1) worksite wellness programs delivered by HDs were diverse in topic and scope and delivered both internally (at the HD for their agency) and externally (for other employers); (2) decisions made about chronic disease prevention were largely driven by funding priorities, with federal, state, and local entities playing roles in the decision-making process; and (3) HDs expressed potential interest in worksite wellness program delivery, dependent upon staff capacity, available funding, and employer buy-in. Our results suggest that funding should be increased for and reallocated towards chronic disease prevention, including worksite wellness. To overcome HD barriers to program delivery, key funders and stakeholders should prioritize and communicate the importance of worksite wellness.
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DOI：
10.1097/phh.0000000000001105
发表时间：
2021-03-01
影响因子：
3.3
作者：
Harris, Jeffrey R.;Hammerback, Kristen;Hannon, Peggy A.
通讯作者：
Hannon, Peggy A.
DOI：
10.1016/s2468-2667(21)00140-7
发表时间：
2021-09
期刊：
The Lancet. Public health
影响因子：
--
作者：
Peñalvo JL;Sagastume D;Mertens E;Uzhova I;Smith J;Wu JHY;Bishop E;Onopa J;Shi P;Micha R;Mozaffarian D
通讯作者：
Mozaffarian D
影响因子：
5.9
作者：
Allen, Peg;Jacob, Rebekah R.;Brownson, Ross C.
通讯作者：
Brownson, Ross C.
影响因子：
5.1
作者：
Feng, Wenhui;Martin, Erika G.
通讯作者：
Martin, Erika G.
影响因子：
12.7
作者：
Lovelace, Kay A.;Aronson, Robert E.;Smith, Mark
通讯作者：
Smith, Mark