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

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dc.contributor.authorKolbe-Alexander, Tracyen_ZA
dc.contributor.authorProper, Karinen_ZA
dc.contributor.authorLambert, Estelleen_ZA
dc.contributor.authorvan Wier, Mariekeen_ZA
dc.contributor.authorPillay, Julianen_ZA
dc.contributor.authorNossel, Craigen_ZA
dc.contributor.authorAdonis, Leegaleen_ZA
dc.contributor.authorVan Mechelen, Willemen_ZA
dc.date.accessioned2015-11-18T03:47:56Z
dc.date.available2015-11-18T03:47:56Z
dc.date.issued2012en_ZA
dc.description.abstractBACKGROUND: 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 01494207en_ZA
dc.identifier.apacitationKolbe-Alexander, T., Proper, K., Lambert, E., van Wier, M., Pillay, J., Nossel, C., ... Van Mechelen, W. (2012). Working on wellness (WOW): A worksite health promotion intervention programme. <i>BMC Public Health</i>, http://hdl.handle.net/11427/15053en_ZA
dc.identifier.chicagocitationKolbe-Alexander, Tracy, Karin Proper, Estelle Lambert, Marieke van Wier, Julian Pillay, Craig Nossel, Leegale Adonis, and Willem Van Mechelen "Working on wellness (WOW): A worksite health promotion intervention programme." <i>BMC Public Health</i> (2012) http://hdl.handle.net/11427/15053en_ZA
dc.identifier.citationKolbe-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.identifier.ris TY - Journal Article AU - Kolbe-Alexander, Tracy AU - Proper, Karin AU - Lambert, Estelle AU - van Wier, Marieke AU - Pillay, Julian AU - Nossel, Craig AU - Adonis, Leegale AU - Van Mechelen, Willem AB - 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 DA - 2012 DB - OpenUCT DO - 10.1186/1471-2458-12-372 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2012 T1 - Working on wellness (WOW): A worksite health promotion intervention programme TI - Working on wellness (WOW): A worksite health promotion intervention programme UR - http://hdl.handle.net/11427/15053 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15053
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-12-372
dc.identifier.vancouvercitationKolbe-Alexander T, Proper K, Lambert E, van Wier M, Pillay J, Nossel C, et al. Working on wellness (WOW): A worksite health promotion intervention programme. BMC Public Health. 2012; http://hdl.handle.net/11427/15053.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentMRC/UCT RU for Exercise and Sport Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2012 Kolbe-Alexander et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherWorking on Wellness (WOW)en_ZA
dc.subject.othercardiovascular diseaseen_ZA
dc.subject.otherinsufficient fruit and vegetable intakeen_ZA
dc.subject.otheroverweighten_ZA
dc.subject.othercholesterol concentrationsen_ZA
dc.subject.otherelevated blood pressureen_ZA
dc.titleWorking on wellness (WOW): A worksite health promotion intervention programmeen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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