Cluff Laurie A, Lang Jason E, Rineer Jennifer R, Jones-Jack Nkenge H, Strazza Karen M
1 RTI International, Social Policy, Health, and Economics Research Unit, Research Triangle Park, NC, USA.
2 Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Am J Health Promot. 2018 May;32(4):1062-1069. doi: 10.1177/0890117117721067. Epub 2017 Jul 21.
Centers for Disease Control and Prevention (CDC) initiated the Work@Health Program to teach employers how to improve worker health using evidence-based strategies. Program goals included (1) determining the best way(s) to deliver employer training, (2) increasing employers' knowledge of workplace health promotion (WHP), and (3) increasing the number of evidence-based WHP interventions at employers' worksites. This study is one of the few to examine the effectiveness of a program designed to train employers how to implement WHP programs.
Pre- and posttest design.
Training via 1 of 3 formats hands-on, online, or blended.
Two hundred six individual participants from 173 employers of all sizes.
Eight-module training curriculum to guide participants through building an evidence-based WHP program, followed by 6 to 10 months of technical assistance.
The CDC Worksite Health ScoreCard and knowledge, attitudes, and behavior survey.
Descriptive statistics, paired t tests, and mixed linear models.
Participants' posttraining mean knowledge scores were significantly greater than the pretraining scores (61.1 vs 53.2, P < .001). A year after training, employers had significantly increased the number of evidence-based interventions in place (47.7 vs 35.5, P < .001). Employers' improvements did not significantly differ among the 3 training delivery formats.
The Work@Health Program provided employers with knowledge to implement WHP interventions. The training and technical assistance provided structure, practical guidance, and tools to assess needs and select, implement, and evaluate interventions.
美国疾病控制与预防中心（CDC）启动了“健康工作”项目，旨在教导雇主如何运用循证策略改善员工健康。该项目目标包括：（1）确定提供雇主培训的最佳方式；（2）增加雇主对工作场所健康促进（WHP）的了解；（3）增加雇主工作场所循证WHP干预措施的数量。本研究是少数几项考察旨在培训雇主如何实施WHP项目的项目有效性的研究之一。
前后测设计。
通过三种形式之一进行培训——实践操作、在线培训或混合培训。
来自173家各种规模雇主的206名个体参与者。
八模块培训课程，指导参与者建立循证WHP项目，随后提供6至10个月的技术支持。
CDC工作场所健康记分卡以及知识、态度和行为调查。
描述性统计、配对t检验和混合线性模型。
参与者培训后的平均知识得分显著高于培训前（61.1对53.2，P < .001）。培训一年后，雇主实施的循证干预措施数量显著增加（47.7对35.5，P < .001）。三种培训形式在雇主的改善方面没有显著差异。
“健康工作”项目为雇主提供了实施WHP干预措施的知识。培训和技术支持提供了架构、实用指导以及评估需求、选择、实施和评估干预措施的工具。
