Local Health Jurisdiction Staff Deliver Health Promotion to Small Worksites, Washington
Local Health Jurisdiction Staff Deliver Health Promotion to Small Worksites, Washington
复制标题
DOI：
10.1097/phh.0000000000001105
复制
发表时间：
2021-03-01
影响因子：
3.3
通讯作者：
Hannon, Peggy A.
中科院分区：
文献类型：
--
作者：
Harris, Jeffrey R.;Hammerback, Kristen;Hannon, Peggy A.
背景：Worksites可以作为社区网站，为当地卫生管辖区（LHJ），以协助实施循证干预措施（EBIs），以预防和控制慢性病。目的：评估的可行性和有效性，使用LHJ工作人员传播连接到健康（CtW），一个有效的传播包，为增加实施EBIs慢性病控制的小型worksites。设计：单臂，多站点干预试验，测量基线，干预后6个月，并经过6个月的维护期。设置：六个地理上分散的县在华盛顿State。目标工作场所有20至250名员工。参与者：来自6个LHJ的9名工作人员向35个工作场所提供CtW。干预：连接健康旨在增加工作场所对14种EBI的实施，这些EBI被分类为沟通，政策或计划方法，以增加4种行为：癌症筛查，健康饮食，体育活动和戒烟。主要结果测量：基于证据的干预实施，测量范围从0%到100%.Results：参与工作场所的总平均实施分数从基线（33%）到6个月随访（47%）显示出显着增加（P < .001，t检验）。在6个月时，沟通、政策、健康饮食和烟草EBI的实施增加具有统计学意义，并维持在12个月。增加执行6个月的一组体力活动计划后，该计划变得不可用，并在12个月（38%）的总执行分数显示从baseline.Conclusions变化不大：地方卫生管辖区提供CtW增加工作场所的EBIs的执行在6个月，并增加执行沟通，政策，健康饮食和烟草维持在12个月。这套由LHJ工作人员在CtW上兼职提供的软件包几乎与之前由全职工作人员在CtW上提供的软件包一样成功。
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, multisite 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 to 250 employees.Participants:Nine staff members from 6 LHJs delivered CtW to 35 worksites.Intervention:Connect to Wellness seeks to increase worksites' implementation of 14 EBIs classified as communication, policy, or program approaches to increasing 4 behaviors: cancer screening, healthy eating, physical activity, and tobacco cessation.Main Outcome Measure:Evidence-based intervention implementation measured on a scale from 0% to 100%.Results:Participating worksites showed a significant increase (P < .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:Local health jurisdiction-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.