Background
Methods
Program overview
Development
Structure and content
Participant recruitment
Assessment
Dimension | |
---|---|
Reach | ‘Reach’ represents the number of individuals that were exposed to and affected by the program. The measure includes the percent of employees that were exposed to HP content, including via organizational digital media, and the percent of employees that participated in HP activities. |
Effectiveness | ‘Effectiveness’ represents the potential impact of the program as a result of adequate pre-planning, including needs assessment, clear definition of aims and goals and planned process evaluation. |
Adoption | ‘Adoption’ refers to the extent of which an organization adopted the program. It includes the establishment of a steering committee, integrating the program into the yearly work plan and budgeting it, and the involvement of both management and employees. |
Implementation | ‘Implementation’ refers to the consistency of delivery of the program as planned, the program’s scope and whether those implementing the program were from within the organization or outsourced. |
Maintenance | ‘Maintenance’ represents the sustainability of the program, including existence of policy changes and institutionalization of the health promotor role within the workplace, enabling the maintenance of WHP in the organization. |
Program documentation
Data analysis
Results
Workplace outcomes
Topic | Intervention | Workplace ID |
---|---|---|
Nutrition | 1. Healthier refreshment options at meetings/events/coffee corner | 1, 3, 4,5, 6, 7, 8, 13 |
2. Nutrition/healthy cooking workshops for employees | 1, 3, 5, 7, 8, 13 | |
3. Nutrition lectures | 3, 4, 5, 13 | |
4. Menu modification in food courts under nutritionist’s recommendation | 1, 5, 8 | |
5. Change of organization food supplier to healthier one | 8, 13 | |
PA | 1. Competitive sport groups | 5, 8 |
2. PA classes | 1, 3, 4, 5, 7, 13 | |
3. PA breaks during work hours | 1 | |
4. Running groups | 5, 13 | |
5. Organization-wide sports day | 1, 3, 4, 5, 7 | |
6. Subsidy of gym/pool membership | 5 | |
7. Encouragement to take stairs or reduce sedentary time | 4, 6 | |
Stress reduction | 1. Stress reduction workshops | 1, 7, 5 |
2. Yoga and meditation workshops | 7, 13 | |
Screening tests | 1. Employee screening for high blood pressure and blood sugar by a nurse | 1 |
2. Employees encouragement to get recommended screenings/Subsidization of screenings | 1, 8 | |
Smoking cessation | 1. Smoking cessation groups | 1, 5, 7, 8 |
Raising health awareness | 1. Health lectures | 1, 3, 4, 5, 10 |
2. Dissemination of health information and tips via organizational digital platforms | 3, 4, 7 | |
3. Creation and distribution of paraphernalia with health content (calendars, holiday presents, pamphlets) | 1, 7, 10 | |
4. Distribution of “healthy gifts”, such as branded water bottles, stress balls, resistance bands | 4, 5, 7, 8 | |
Other | 1. Training of additional workplace health promoters | 7, 13 |
2. First aid courses | 4, 7, 13 | |
3. Healthy shopping and budgeting workshops | 13 | |
4. Cancer awareness lectures | 7, 8 | |
5. Ergonomics workshop | 4, 5, 7 |
Workplace ID | Num. of Employees | Employee Reach, HP Content | Employee Reach, HP Activities | Mean Effectiveness | Mean Adoption | Mean Implementation | Mean Maintenance | RE-AIM Avg. |
---|---|---|---|---|---|---|---|---|
1 | 500 | 1.00 | 2.00 | 1.83 | 2.00 | 1.71 | 1.25 | 1.63 |
2a | 2500 | 0 | 0 | – | 0.50 | 0 | 0 | 0.10 |
3 | 550 | 2.00 | 1.0 0 | 1.00 | 1.50 | 1.17 | 2.00 | 1.45 |
4 | 160 | 2.00 | 1.00 | 1.00 | 1.50 | 1.33 | 2.00 | 1.47 |
5 | 1000 | 1.00 | 1.00 | 0.83 | 0.75 | 1.43 | 1.00 | 1.00 |
6 | 240 | 1.00 | 2.00 | 1.00 | 0.25 | 0.33 | 1.25 | 0.97 |
7 | 1200 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 |
8 | 650 | 1.00 | 2.00 | 1.67 | 2.00 | 1.86 | 2.00 | 1.76 |
9a | 60 | 0 | 0 | – | 0 | 0 | 0 | 0 |
10 | 4000 | 1.00 | 0 | 0.67 | 1.00 | 0.33 | 0 | 0.50 |
11a | 4200 | 0 | 0 | – | 0 | 0 | 0 | 0 |
12a | 500 | 0 | 0 | – | 0.25 | 0 | 0 | 0.05 |
13 | 4000 | 2.00 | 2.00 | 1.33 | 0.75 | 1.71 | 1.50 | 1.55 |
WHP Factor (n) | Over 50% of employees participate in health activity | Program is sustainable | Changes were made in organization policy | Program was implemented according to plan |
---|---|---|---|---|
Steering Committee | ||||
No (9) | 11.1% | 57.1% | 44.4% | 37.5% |
Yes (4) | 100.0% | 100.0% | 100.0% | 100.0% |
Sig. | 0.007 | 0.212 | 0.098 | 0.255 |
Appointment of Health promoter in the organization | ||||
No (7) | 14.3% | 40.0% | 28.6% | 50.0% |
Yes (7) | 66.7% | 100.0% | 100.0% | 100.0% |
Sig. | 0.086 | 0.061 | 0.016 | 0.091 |
Approved budget | ||||
No (5) | 40.0% | 50.0% | 40.0% | 40.0% |
Yes (7) | 42.9% | 85.7% | 85.7% | 100.0% |
Sig. | 0.689 | 0.279 | 0.152 | 0.045 |
Management support | ||||
No (2) | 0% | 0% | 0% | 0% |
Yes (10) | 50.0% | 80.0% | 80.0% | 90.0% |
Sig. | 0.318 | 0.273 | 0.091 | 0.045 |
Flexibility in problem solving | ||||
No (4) | 0% | 0% | 0% | 0% |
Yes (4) | 75.0% | 100.0% | 100.0% | 100.0% |
Sig. | 0.071 | 0.067 | 0.014 | 0.029 |
Needs Assessment | ||||
No (8) | 12.5% | 66.7% | 50.0% | 71.4% |
Yes (5) | 80.0% | 80.0% | 80.0% | 80.0% |
Sig. | 0.032 | 0.576 | 0.315 | 0.636 |
Yearly work plan | ||||
No (5) | 20.0% | 25.0% | 20.0% | 50.0% |
Yes (8) | 50.0% | 100.0% | 87.5% | 87.5% |
Sig. | 0.315 | 0.024 | 0.032 | 0.236 |
Implemented by internal resources | ||||
No (2) | 50.0% | 50.0% | 50.0% | 100.0% |
Yes (7) | 57.1% | 100.0% | 100.0% | 100.0% |
Sig. | 0.722 | 0.222 | 0.222 | – |
Comprehensive program | ||||
No (5) | 20.0% | 25.0% | 20.0% | 40.0% |
Yes (7) | 57.1% | 100.0% | 100.0% | 100.0% |
Sig. | 0.247 | 0.024 | 0.010 | 0.045 |
Predictors of successful outcomes
Participant outcomes
Variable | n | Pre | Post | Sig. |
---|---|---|---|---|
Average consumption of: | ||||
Fruit and Vegetables (servings per day) | 14 | 2.95 | 3.12 | 0.330 |
Sweet drinks (servings per day) | 14 | 1.47 | 0.54 | 0.056 |
Sweets (servings per day) | 13 | 1.52 | 0.48 | 0.009 |
Refined grains (servings per day) | 13 | 1.45 | 0.66 | 0.036 |
Nuts (servings per week) | 14 | 1.96 | 2.71 | 0.150 |
Fish (servings per week) | 13 | 1.26 | 2.04 | 0.067 |
Fried food (servings per week) | 14 | 1.28 | 0.78 | 0.790 |
Moderate PA (mean minutes per week) | 14 | 90.00 | 111.43 | 0.110 |
Vigorous PA (mean minutes per week) | 14 | 32.00 | 46.78 | 0.331 |
Self-efficacy as health promoters (mean scale of 1–5) | 14 | 3.12 | 3.38 | 0.030 |
Health knowledge enabling WHP | 14 | 2.93 | 4.07 | < 0.001 |