BackgroundGiven the large number of obesity-focused studies conducted in schools, there
is a surprising lack of data regarding teacher workplace health behaviors in
the United States.ObjectiveTo determine the feasibility and effectiveness of an onsite fitness facility
with a structured integrative wellness program to improve health-related
outcomes among teachers and staff at an urban elementary/middle school.MethodsA 2-year mixed-methods analysis using Patient-Reported Outcomes Measurement
Information System (PROMIS) measures and qualitative interviews included 39
teachers and staff employed at an urban elementary/middle school in
Baltimore, Maryland. The fitness facility was dedicated exclusively to
teachers and staff and the integrative wellness program included group
exercise classes, yoga, mindfulness, and nutrition competitions.
T tests were used to compare quantitative outcomes at
baseline, the end of year 1, and the end of year 2.ResultsCompared to baseline, at year 1, there was a significant improvement in the
PROMIS Sleep Disturbance score. From baseline to end of year 2, there were
significant increases in the PROMIS Global Physical Health as well as
significant decreases in Sleep Disturbances, Fatigue, and Social Isolation.
Qualitative interviews conducted at the end of year 1 indicated that
teachers who used the facility felt that it improved their mood, increased
their energy, motivated them to eat healthily, and gave them opportunities
to socialize with their colleagues in new ways. This impact was further
enhanced in year 2.ConclusionsAn onsite fitness facility with an integrative wellness program may improve
health-related outcomes among urban elementary school teachers and staff,
with the greatest benefits seen after 2 years of implementation.