Translatability of Wellness Programs for Older Workers

描述（由申请人提供）：我们目前的HPRI R01正在研究针对老年工人的两种基于证据的健康促进干预措施的成本效益，预计从现在到2015年，老年工人的劳动力参与率将增加60%。拟议的研究将建立和扩展我们正在进行的和已完成的工作，以探索其翻译潜力。我们将使用RE-AIM模型作为我们工作的指导框架（Glasgow et al., 1999）。该模型评估了五个维度：覆盖范围、功效、采用、实施和维护，这些维度可以在个人和诊所、组织或社区层面运行，并相互作用，以确定项目或政策对公共卫生或基于人群的影响。拟议的活动将使我们能够学习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因素。我们将对两个研究组（COACH和RealAge）的参与者进行焦点小组讨论，以更多地了解在每种治疗条件下影响行为改变的过程。将进行五个参与者焦点小组讨论。每个干预组将分别对高和低用户进行四项研究，其中一项研究将对与我们联系并决定不参与的人进行。我们还将进行一项基于网络的调查，随机抽取40岁以上从未与我们联系过参与研究的工作人员，以评估他们对两种干预措施中的任何一种或对UIC其他健康促进机会的兴趣程度。将与人力资源人员和UIC高层管理人员进行关键信息提供者访谈，以探索在UIC内大规模实施干预措施的可能性，这些干预措施将得到大学的支持和维护。最后，将对大芝加哥地区的商业领袖和企业进行关键信息访谈和系统调查，以探索现有老年员工健康促进工作的特点，COACH和RealAge干预措施的吸引力，以及采用、实施和维护COACH和RealAge计划以及其他类似计划的促进因素和障碍。

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.