Working on wellness (WOW): A worksite health promotion intervention programme


Show simple item record Kolbe-Alexander, Tracy en_ZA Proper, Karin en_ZA Lambert, Estelle en_ZA van Wier, Marieke en_ZA Pillay, Julian en_ZA Nossel, Craig en_ZA Adonis, Leegale en_ZA Van Mechelen, Willem en_ZA 2015-11-18T03:47:56Z 2015-11-18T03:47:56Z 2012 en_ZA
dc.identifier.citation Kolbe-Alexander, T. L., Proper, K. I., Lambert, E. V., Van Wier, M. F., Pillay, J. D., Nossel, C., ... & Van Mechelen, W. (2012). Working on wellness (WOW): A worksite health promotion intervention programme. BMC public health, 12(1), 372. en_ZA
dc.description.abstract BACKGROUND: Insufficient PA has been shown to cluster with other CVD risk factors including insufficient fruit and vegetable intake, overweight, increased serum cholesterol concentrations and elevated blood pressure. This paper describes the development of Working on Wellness (WOW), a worksite intervention program incorporating motivational interviewing by wellness specialists, targeting employees at risk. In addition, we describe the evaluation the effectiveness of the intervention among employees at increased risk for cardiovascular disease. METHODS: The intervention mapping (IM) protocol was used in the planning and design of WOW. Focus group discussions and interviews with employees and managers identified the importance of addressing risk factors for CVD at the worksite. Based on the employees' preference for individual counselling, and previous evidence of the effectiveness of this approach in the worksite setting, we decided to use motivational interviewing as part of the intervention strategy. Thus, as a cluster-randomised, controlled control trial, employees at increased risk for CVD (N=928) will be assigned to a control or an intervention group, based on company random allocation. The sessions will include motivational interviewing techniques, comprised of two face-to-face and four telephonic sessions, with the primary aim to increase habitual levels of PA. Measures will take place at baseline, 6 and 12months. Secondary outcomes include changes in nutritional habits, serum cholesterol and glucose concentrations, blood pressure and BMI. In addition, healthcare expenditure and absenteeism will be measured for the economic evaluation. Analysis of variance will be performed to determine whether there were significant changes in physical activity habits in the intervention and control groups at 6 and 12months.DISCUSSION:The formative work on which this intervention is based suggests that the strategy of targeting employees at increased risk for CVD is preferred. Importantly, this study extends the work of a previous, similar study, Health Under Construction, in a different setting. Finally, this study will allow an economic evaluation of the intervention that will be an important outcome for health care funders, who ultimately will be responsible for implementation of such an intervention.TRIAL REGISTRATION:United States Clinical Trails Register NCT 01494207 en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri en_ZA
dc.source BMC Public Health en_ZA
dc.source.uri en_ZA
dc.subject.other Working on Wellness (WOW) en_ZA
dc.subject.other cardiovascular disease en_ZA
dc.subject.other insufficient fruit and vegetable intake en_ZA
dc.subject.other overweight en_ZA
dc.subject.other cholesterol concentrations en_ZA
dc.subject.other elevated blood pressure en_ZA
dc.title Working on wellness (WOW): A worksite health promotion intervention programme en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2012 Kolbe-Alexander et al.; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department MRC/UCT RU for Exercise and Sport Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License