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

Dana-Farber Cancer Institute, 221 Station Circle N, Hudson WI 54016; phone: (715) 531-1879; fax: (617) 632-1999huntmk{at}comcast.net

Ruth Lederman, MPH

Dana-Farber Cancer Institute, Center for Community-Based Research, Boston

Anne M. Stoddard, ScD

Dana-Farber Cancer Institute, Center for Community-Based Research, Boston; New England Research Institute, Watertown, MA.

Anthony D. LaMontagne, ScD, MA, MEd

Dana-Farber Cancer Institute, Center for Community-Based Research, Boston; Monash University Medical School at the Alfred Hospital, Department of Epidemiology and Preventive Medicine, Melbourne, Australia.

Deborah McLellan, MHS

Candace Combe, MS, RD

Elizabeth Barbeau, ScD, MPH

Dana-Farber Cancer Institute, Center for Community-Based Research, Boston

Glorian Sorensen, MPH, PhD

Dana-Farber Cancer Institute, Center for Community-Based Research, Boston; Harvard University, School of Public Health, Department of Health and Social Behavior, Boston.

Disparities in chronic disease risk by occupation call for newapproaches to health promotion. Well Works-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.

Key Words: process evaluation • work-site health promotion • occupational health

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