HealthLinks randomized controlled trial: Design and baseline results

Hannon, Peggy A.; Hammerback, Kristen; Allen, Claire; Parrish, Amanda T.; Chan, K. Gary; Kohn, Marlana; Teague, Sara; Beresford, Shirley A.A.; Helfrich, Christian D.; Harris, Jeffrey R.

doi:10.1016/j.cct.2016.02.011

Cited by 15 publications

(24 citation statements)

References 17 publications

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“…We analyzed two waves of survey data collected as part of a three-arm, randomized, controlled trial testing the effectiveness of HealthLinks, a workplace-health-promotion program ( 8 ). HealthLinks was developed in collaboration with the American Cancer Society and the University of Washington.…”

Section: Methodsmentioning

confidence: 99%

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Readiness to Change Over Time: Change Commitment and Change Efficacy in a Workplace Health-Promotion Trial

Helfrich

Kohn

Stapleton

et al. 2018

Front. Public Health

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IntroductionOrganizational readiness to change may be a key determinant of implementation success and a mediator of the effectiveness of implementation interventions. If organizational readiness can be reliably and validly assessed at the outset of a change initiative, it could be used to assess the effectiveness of implementation-support activities by measuring changes in readiness factors over time.MethodsWe analyzed two waves of readiness-to-change survey data collected as part of a three-arm, randomized controlled trial to implement evidence-based health promotion practices in small worksites in low-wage industries. We measured five readiness factors: context (favorable broader conditions); change valence (valuing health promotion); information assessment (demands and resources to implement health promotion); change commitment (an intention to implement health promotion); and change efficacy (a belief in shared ability to implement health promotion). We expected commitment and efficacy to increase at intervention sites along with their self-reported effort to implement health promotion practices, termed wellness-program effort. We compared means between baseline and 15 months, and between intervention and control sites. We used linear regression to test whether intervention and control sites differed in their change-readiness scores over time.ResultsOnly context and change commitment met reliability thresholds. Change commitment declined significantly for both control (−0.39) and interventions sites (−0.29) from baseline to 15 months, while context did not change for either. Only wellness program effort at 15 months, but not at baseline, differed significantly between control and intervention sites (1.20 controls, 2.02 intervention). Regression analyses resulted in two significant differences between intervention and control sites in changes from baseline to 15 months: (1) intervention sites exhibited significantly smaller change in context scores relative to control sites over time and (2) intervention sites exhibited significantly higher changes in wellness program effort relative to control sites.DiscussionContrary to our hypothesis, change commitment declined significantly at both Healthlinks and control sites, even as wellness-program effort increased significantly at HealthLinks sites. Regression to the mean may explain the decline in change commitment. Future research needs to assess whether baseline commitment is an independent predictor of wellness-program effort or an effect modifier of the HealthLinks intervention.

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Section: Methodsmentioning

confidence: 99%

“…As part of the study, worksites completed surveys at baseline and 15 months to assess readiness factors and specific implementation efforts to implement health promotion practices (described below). The study protocol and baseline outcomes have been previously published ( 8 ).…”

Section: Methodsmentioning

confidence: 99%

Readiness to Change Over Time: Change Commitment and Change Efficacy in a Workplace Health-Promotion Trial

Helfrich

Kohn

Stapleton

et al. 2018

Front. Public Health

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“…7 It was successful, and HPRC and the American Cancer Society have continued to offer HealthLinks to more than 150 small worksites. 8 Currently, HPRC trains and supports local health department staff that deliver HealthLinks to small employers in five rural and urban Washington counties. As a result of this work, employees in small worksites with limited access to health promotion have improved access to healthy food, physical activity opportunities, and cancer screening and tobacco-cessation opportunities.…”

Section: Resultsmentioning

confidence: 99%

Prevention Research Center Collaborations With State Departments of Health: Washington State

Hannon

Santiago

et al. 2017

American Journal of Preventive Medicine

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State health departments and Prevention Research Centers (PRCs) have complementary mandates and expertise important to improving population health. State health departments manage and administer numerous programs with broad population reach. PRCs bridge dissemination and implementation research and public health practice to improve health programming and outcomes. This paper describes the 15-year partnership between the Washington State Department of Health and the PRC at the University of Washington. Through this partnership, the Washington State Department of Health increases their research and evaluation capacity by working with the University of Washington PRC, and the University of Washington PRC receives opportunities to apply evidence in a variety of practice settings, expand the reach of their research-tested programs to new populations, and form new partnerships. The partnership focused initially on improving colorectal cancer screening rates through increased dissemination and implementation of evidence-based interventions. The partnership scope has grown to include small cancer screening projects in worksites and healthcare systems, Washington's Colorectal Cancer Control Program, breast and cervical cancer screening, hypertension control, and worksite health promotion. The partnership yields three main types of outcomes that strengthen practice and science: (1) findings from each major assessment or evaluation activity, published in the peer-reviewed literature when possible; (2) use of the findings to improve public health practice and impact; and (3) training opportunities for employees of local and state health departments and public health students. PRCs, health departments, and the populations they serve have much to gain from this type of partnership.

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“…This study uses baseline and follow-up data from a three-arm randomized controlled trial (RCT) testing an intervention to increase implementation of evidence-based health promotion practices at small low-wage worksites. 20 The RCT was conducted in King County, Washington. Worksites included in the trial employed between 20 and 200 employees and were classified as one of six industries with mean annual wages less than $40,000 in 2010: accommodation and food services; arts, entertainment, and recreation; educational services; health care and social assistance; other services except public administration; and retail trade.…”

Section: Methodsmentioning

confidence: 99%

“…The delayed control group was eligible to receive the intervention after providing two-year follow-up data. For a more detailed description of the trial and study methods, refer to Hannon et al 20…”

Section: Methodsmentioning

confidence: 99%

Tobacco Evidence-Based Practice Implementation and Employee Tobacco-Related Outcomes at Small Low-Wage Worksites

Kava

Harris

Chan

et al. 2019

Journal of Occupational &Amp; Environmental Medicine

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Objective: To assess whether tobacco policy, program, and communication evidence-based practice implementation is associated with employee tobacco outcomes (current smoking; quit attempt; smokeless tobacco (SLT) use; and perceived worksite support for cessation) at small lowwage worksites. Methods: We analyzed data from a randomized controlled trial testing an intervention to increase implementation of evidence-based health promotion practices. We used generalized estimating equations to examine relationships between practice implementation and tobacco outcomes. Results: Communication practice implementation was associated with better perceived worksite support for cessation (p=0.027). Policy and program implementation were associated with increased odds of being a current SLT user; these findings should be interpreted with caution given small sample sizes. Conclusions: Tobacco communication evidence-based practice implementation was associated with favorable perceptions of worksite support for cessation; more may be needed to change tobacco use behavior.

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HealthLinks randomized controlled trial: Design and baseline results

Cited by 15 publications

References 17 publications

Readiness to Change Over Time: Change Commitment and Change Efficacy in a Workplace Health-Promotion Trial

Readiness to Change Over Time: Change Commitment and Change Efficacy in a Workplace Health-Promotion Trial

Prevention Research Center Collaborations With State Departments of Health: Washington State

Tobacco Evidence-Based Practice Implementation and Employee Tobacco-Related Outcomes at Small Low-Wage Worksites

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