Mabry Linda, Elliot Diane L, Mackinnon David P, Thoemmes Felix, Kuehl Kerry S
Washington State University Vancouver, Department of Teaching and Learning, Vancouver, WA, USA.
Am J Health Behav. 2013 Sep;37(5):693-702. doi: 10.5993/AJHB.37.5.13.
To understand the influences associated with durability and diffusion of benefits of a fire service wellness program.
Qualitative assessment of group interviews.
Five years following a controlled worksite wellness trial, behavioral improvements were durable and had diffused to control participants. These findings were associated with firefighters' team orientation, enacted healthy norms and competitiveness regarding the results of annual health assessments. The original intervention trial appeared to initiate individual change that coalesced into group effects. Secondary influences included increasing public awareness about health, newly hired younger firefighters, and a modicum of administrative support. Culture shift was achieved at the workplace.
Although the fire service is a unique occupation, these findings suggest general strategies to achieve durable positive health change in other occupational settings.
了解与消防部门健康计划的效益持久性和传播相关的影响因素。
对小组访谈进行定性评估。
在一项对照的工作场所健康试验开展五年后，行为改善具有持久性，并已传播至对照参与者。这些发现与消防员的团队导向、既定的健康规范以及年度健康评估结果方面的竞争力有关。最初的干预试验似乎引发了个体改变，并凝聚成群体效应。次要影响包括提高公众对健康的认识、新招聘的年轻消防员以及一定程度的行政支持。工作场所实现了文化转变。
尽管消防部门是一个独特的职业，但这些发现表明了在其他职业环境中实现持久积极健康改变的一般策略。
