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HealthLinks: Increasing EBI Implementation in Low-Wage Worksites UW CPCRN Peggy Hannon February 15, 2012

HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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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…. - PowerPoint PPT Presentation

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Page 1: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

UW CPCRN

Peggy Hannon

February 15, 2012

Page 2: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

We Want Employees To Be Able To…

Get Screened Get or Stay Fit Quit

Page 3: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

We Want Employers To Give Employees…

Easy Access A Supportive Culture Skills & Tools

Page 4: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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

Page 5: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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

Page 6: HealthLinks: Increasing EBI Implementation in Low-Wage 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

Page 7: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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)

Page 8: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

COMMUNITIES PUTTING PREVENTION TO WORK

Current HealthLinks Project

Page 9: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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)

Page 10: HealthLinks: Increasing EBI Implementation in Low-Wage 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%)

Page 11: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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.

Page 12: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

Lessons Learned

Recruitment

New challenges

Strategies we tried

Strategies that worked

Implementation

Measuring small changes

Running with creativity

Page 13: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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

Page 14: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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

Page 15: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

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

Page 16: HealthLinks: Increasing EBI Implementation in Low-Wage Worksites

Questions and Discussion

Contact:

Peggy Hannon

[email protected]

206-616-7859