Translatability of Wellness Programs for Older Workers

描述(由申请人提供)：我们目前的HPRI R01正在研究两种针对老年工人的循证健康促进干预措施的成本效益，从现在到2015年，他们的劳动参与率预计将增加60%。拟议的研究将以我们正在进行和完成的工作为基础，并扩大我们的工作，以探索其翻译潜力。我们将使用RE-AIM模式作为我们工作的指导框架(格拉斯哥等人，1999年)。该模型评估了五个维度：覆盖范围、效力、采用、实施和维护，这些维度可以在个人和诊所、组织或社区层面运作，并相互作用，以确定计划或政策的公共卫生或基于人口的影响。拟议的活动将使我们能够了解如何加强这些计划的翻译，包括打包和营销计划的方法，以及解决采用、实施和维护的障碍和促进者的方法。我们将与两个研究部门(Coach和RealAge)的参与者一起进行焦点小组，以了解在每种治疗条件下影响行为变化的过程。将进行五个参与者焦点小组。在每个干预分支中，将有四个高用户与低用户进行，一个将与联系我们参与并决定不跟进的人进行。我们还将进行一项基于网络的调查，随机抽取40岁以上从未就参与学习事宜与我们联系的工作人员，以评估他们对两种干预措施或UIC其他健康促进机会的兴趣程度。将与人力资源(HR)工作人员和UIC高层管理人员进行主要信息提供人面谈，以探讨在UIC内大规模实施由大学支持和维持的干预措施的可能性。最后，将对大芝加哥地区的商业领袖和企业进行关键信息人访谈和系统调查，以探索现有针对老年员工的健康促进努力的特点、Coach和RealAge干预措施的吸引力，以及Coach和RealAge计划和其他类似计划采用、实施和维护的促进者和障碍。

DESCRIPTION (provided by applicant): Our current HPRI R01 is examining the cost-effectiveness of two evidence-based health promotion interventions for older workers, whose participation in the workforce is anticipated to increase by 60% between now and 2015. The proposed study will build upon and expand our ongoing and completed work to explore its potential for translation. We will use the RE-AIM model as a guiding framework for our work (Glasgow et al., 1999). This model assesses five dimensions: Reach, Efficacy, Adoption, Implementation and Maintenance that can operate at both the individual and clinic, organization, or community level and interact to determine the public health or population-based impact of a program or policy. The proposed activities will enable us to learn how to enhance translation of these programs, including ways to package and market programs and address barriers and facilitators to adoption, implementation, and maintenance. We will conduct focus groups with participants in both of our study arms (COACH and RealAge) to learn more about the processes that impact behavior change in each treatment condition. Five participant focus groups will be conducted. Four will be conducted with high vs. low users in each intervention arm and one will be conducted with persons who contacted us about participation and decided not to follow through. We will also conduct a web-based survey with a random sample of staff over the age of 40 who never contacted us about study participation to assess their degree of interest in either of the two interventions or in other health promotion opportunities at UIC. Key informant interviews will be conducted with Human Resource (HR) staff and high-level UIC managers to explore the possibilities for large scale implementation of the interventions within UIC that would be supported and maintained by the University. Finally, key informant interviews and a systematic survey will be conducted with business leaders and businesses in the greater Chicago area to explore the characteristics of existing health promotion efforts for older workers, the attractiveness of the COACH and RealAge interventions, and facilitators and barriers to the adoption, implementation, and maintenance of the COACH and RealAge programs and other programs like them.