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HealthLinks: Increasing EBI Implementation in Low-Wage Worksites
UW CPCRN
Peggy Hannon
February 15, 2012
We Want Employees To Be Able To…
Get Screened Get or Stay Fit Quit
We Want Employers To Give Employees…
Easy Access A Supportive Culture Skills & Tools
Dissemination Resources
User Organization
Fixed Elements
Organizational
Practices &IndividualBehaviors
Unmodifiable Outer Context
Linkages & Learnings Using
Principles of Social Marketing
Evidence-Based Practices
Modifiable Outer Context
Adoption
Implementation
Maintenance
Readiness
Dissemination Approach
Networks, policies, funding
Economic conditions, etc.
Diffusion
HPRC Dissemination Framework
Harris JR et al. Prev Chronic Dis 2012;9:110081
Dissemination Resources
User Organization (Worksites)
Fixed Elements
Organizational
Practices &IndividualBehaviors
(Change from Baseline to Follow-up)Unmodifiable Outer Context
Linkages & Learnings Using
Principles of Social Marketing
Evidence-Based Practices
Modifiable Outer Context
Adoption
Implementation
Maintenance
Readiness
Dissemination Approach (HealthLinks)
Networks, policies, funding
Economic conditions, etc.
Diffusion
HPRC Dissemination Framework: Worksites
ACS HealthLinks
Small worksites, 20-250 employees
Focus= healthy eating, physical activity, and tobacco cessation
ACS delivers intervention to employer and employeees at worksite
Worksites participate for 6 months
Photo: Stafford Healthcare receiving their HealthLinks certificate
HealthLinks Best Practices
Healthy eatingProvide healthy foods on-site
Physical activityProvide access to physical activity facilities
Provide worksite-based physical activity program
TobaccoBan tobacco at work
CommunicationPromote all of the above to employees, promote free state resources (Quit Line and cancer screening programs)
COMMUNITIES PUTTING PREVENTION TO WORK
Current HealthLinks Project
Project Goals
Recruit 50 small worksites
Deliver HealthLinks (6 months at each worksite)
Build wellness committees to increase internal capacity and champions
Evaluate HealthLinks impact
Measure best practices at baseline and 6 months later
Measure workers’ health behaviors & awareness of WHP at baseline and 6 months later (~15 worksites)
Participating Worksites
Variety of industriesEducation
Healthcare/Social Assistance
Leisure/Hospitality
Manufacturing
Wholesale/Retail Trade
Other
Size range 22-250 employees (mean = 107)
Few had wellness committees (n=7)
Baseline best practice implementation is low (<30%)
Employees’ Characteristics
Majority (72%) work full-time
Majority make ~ $30,000 per year
61% are women
Race/ethnicity
African American 13%
American Indian/Alaska Native 1%
Asian/Pacific Islander 12%
Multi-racial or Other 13%
White 60%
Latino 10%
Employers reported their employees’ characteristics. Race/Ethnicity does not sum to 100% b/c not all employers provided estimates for all categories.
Lessons Learned
Recruitment
New challenges
Strategies we tried
Strategies that worked
Implementation
Measuring small changes
Running with creativity
What’s Next?
Community Transformation Grant, WA State
Deliver HealthLinks to worksites in rural WA counties
Develop & pilot-test new HealthLinks model, engaging ACS volunteers to provide implementation support
Measure best practice implementation every 6 months
Partners
American Cancer Society
John Craft, Eustacia Mahoney, Patti Santiago, Erin Sheahan, Sara Teague
Group Health Cooperative/GHRI
David Grossman, Kevin Klein
Public Health – Seattle & King County
Elaine Cummins, Ryan Kellogg, Sarah Ross-Viles
WA Department of HealthSue Grinnell, Pama Joyner, Sheila Pudists, Chris Zipperer
Acknowledgements
Public Health-Seattle & King County (subcontracts via Communities Putting Prevention to Work, Centers for Disease Control and Prevention)
University of Washington Health Promotion Research Center, a CDC Prevention Research Center, cooperative agreement U48DP001911
Centers for Disease Control and Prevention (CDC) and the National Cancer Institute through the Cancer Prevention and Control Research Network, a network within the CDC's Prevention Research Centers Program, cooperative agreement U48DP001911