Process Evaluation of an Integrated Health Promotion/Occupational Health Model in WellWorks-2

• Published in: Health education & behavior 2005-02, Vol.32 (1), p.10-26
• Main Authors: Hunt, Mary Kay, Lederman, Ruth, Stoddard, Anne M., LaMontagne, Anthony D., McLellan, Deborah, Combe, Candace, Barbeau, Elizabeth, Sorensen, Glorian
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Blue Collar Occupations; Diet; Diseases; Formative Evaluation; Health Behavior; Health Programs; Health Promotion; Health Promotion - methods; Humans; Intervention; Medical sciences; Miscellaneous; Occupational Health; Occupational Safety and Health; Patient Participation - methods; Process Assessment (Health Care); Program Effectiveness; Program Evaluation; Public health. Hygiene; Public health. Hygiene-occupational medicine; Risk; Smoking; Smoking Cessation - methods; Socioeconomic Factors; Studies; Wellness programs
• ISSN: 1090-1981; 1552-6127
• DOI: 10.1177/1090198104264216

Disparities in chronic disease risk by occupation call for new approaches to health promotion. WellWorks-2 was a randomized, controlled study comparing the effectiveness of a health promotion/occupational health program (HP/OHS) with a standard intervention (HP). Interventions in both studies were based on the same theoretical foundations. Results from process evaluation revealed that a similar number of activities were offered in both conditions and that in the HP/OHS condition there were higher levels of worker participation using three measures: mean participation per activity (HP: 14.2% vs. HP/OHS: 21.2%), mean minutes of worker exposure to the intervention/site (HP: 14.9 vs. HP/OHS: 33.3), and overall mean participation per site (HP: 34.4% vs. HP/ OHS: 45.8%). There were a greater number of contacts with management (HP: 8.8 vs. HP/OHS: 24.9) in the HP/ OHS condition. Addressing occupational health may have contributed to higher levels of worker and management participation and smoking cessation among blue-collar workers.