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The effects of a health promotion-health protection intervention on behavior change: The wellworks study

Author

Listed:
  • Sorensen, G.
  • Stoddard, A.
  • Hunt, M.K.
  • Hebert, J.R.
  • Ockene, J.K.
  • Avrunin, J.S.
  • Himmelstein, J.
  • Hammond, S.K.

Abstract

Objectives. This study assessed the effects of a 2-year integrated health promotion-health protection work-site intervention on changes in dietary habits and cigarette smoking. Methods. A randomized, controlled intervention study used the work site as the unit of intervention and analysis; it included 24 predominantly manufacturing work sites in Massachusetts (250-2500 workers per site). Behaviors were assessed in self- administered surveys (n = 2386; completion rates = 61% at baseline, 62% at final). Three key intervention elements targeted health behavior change: (1) joint worker-management participation in program planning and implementation, (2) consultation with management on work-site environmental changes, and (3) health education programs. Results. Significant differences between intervention and control work sites included reductions in the percentage of calories consumed as fat (2.3% vs 1.5% kcal) and increases in servings of fruit and vegetables (10% vs 4% increase). The intervention had a significant effect on fiber consumption among skilled and unskilled laborers. No significant effects were observed for smoking cessation. Conclusions. Although the size of the effects of this intervention are modest, on a populationwide basis effects of this size could have a large impact on cancer-related and coronary heart disease end points.

Suggested Citation

  • Sorensen, G. & Stoddard, A. & Hunt, M.K. & Hebert, J.R. & Ockene, J.K. & Avrunin, J.S. & Himmelstein, J. & Hammond, S.K., 1998. "The effects of a health promotion-health protection intervention on behavior change: The wellworks study," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1685-1690.
    • Handle: RePEc:aph:ajpbhl:1998:88:11:1685-1690_6
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    Cited by:

    1. Glorian Sorensen & Eve M Nagler & Pratibha Pawar & Prakash C Gupta & Mangesh S Pednekar & Gregory R Wagner, 2017. "Lost in translation: The challenge of adapting integrated approaches for worker health and safety for low- and middle-income countries," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-25, August.
    2. Mark L. Niebylski & Tammy Lu & Norm R. C. Campbell & Joanne Arcand & Alyssa Schermel & Diane Hua & Karen E. Yeates & Sheldon W. Tobe & Patrick A. Twohig & Mary R. L'Abbé & Peter P. Liu, 2014. "Healthy Food Procurement Policies and Their Impact," IJERPH, MDPI, vol. 11(3), pages 1-20, March.
    3. Rajashree Kotejoshyer & Yuan Zhang & Marian Flum & Jane Fleishman & Laura Punnett, 2019. "Prospective Evaluation of Fidelity, Impact and Sustainability of Participatory Workplace Health Teams in Skilled Nursing Facilities," IJERPH, MDPI, vol. 16(9), pages 1-17, April.
    4. Cecchini Michele & Sassi Franco, 2011. "Economic aspects of obesity prevention," Bulletin: Economics, Organisation and Informatics in Healthcare, Sciendo, vol. 27(2), pages 77-94, January.
    5. Linda J Cobiac & Theo Vos & J Lennert Veerman, 2010. "Cost-Effectiveness of Interventions to Promote Fruit and Vegetable Consumption," PLOS ONE, Public Library of Science, vol. 5(11), pages 1-8, November.
    6. Nordström, Jonas, 2011. "Willingness to pay for wholesome canteen takeaway," Working Papers 2011:36, Lund University, Department of Economics.

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