The document describes a needs assessment conducted for town employees in Prosper, Texas to improve the town's wellness program. A survey identified key wellness topics of interest, including physical activity, nutrition, weight management, skin cancer, and work-life balance. These topics informed the creation of weekly online informational flyers. Questionnaires before and after the 4-week intervention found sedentary time decreased by 30% on average and participation in wellness activities increased by 23%. While the intervention was effective, larger sample sizes are recommended to obtain more accurate results.
Research Abstracts Vtrim's online healthy weight management programkmyerson
1) Several studies examined the efficacy of internet-based weight loss programs compared to in-person programs. Results showed that internet programs produced comparable weight loss to in-person programs over 12-18 months.
2) One study directly compared a structured behavioral internet weight loss program (VTrim) to a commercial self-help internet program (eDiets.com) and found that the structured program produced greater weight loss at both 6 and 12 months.
3) Other studies examined features of effective internet programs, finding that dynamic elements providing feedback and social support best predicted weight loss and maintenance. Accurate self-reporting of weight was also found.
A review of the evidence: School-based Interventions to Address Obesity Preve...Health Evidence™
Health Evidence hosted a 90 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on School-based Interventions to Address Obesity Prevention in Children 6-12 Years of Age presenting key messages, and implications for practice on Thursday, November 22nd, 2012 at 1:00 pm EST.
Kara DeCorby, Managing Director and Knowledge Broker for Health Evidence, lead the webinar, which included interactive discussion with Julie Charlebois and Paula Waddell, the authors of this review.
This webinar focused on interpreting the evidence in the following review:
Charlebois, J., Gowrinathan, Y., & Waddell, P. (2012). A Review of the Evidence: School-based Interventions to Address Obesity Prevention in Children 6-12 Years of Age. Toronto Public Health. Toronto, Ontario. (http://health-evidence.ca/documents/Final Report Sept 24-12.pdf)
Objectives: The goal of this intervention study was to examine the influence of an individualized evidence based psycho educational intervention on appraisal of caregivers (CGs).
Method: This pre-post longitudinal study (baseline, six, twelve and 18 months follow-up) was based on a psychoeducational
intervention (Progressively Lowered Stress Threshold (PLST) model) and a NYU caregiver intervention with 125 informal caregivers of community dwelling people with dementia (PWD). Statistical analysis consisted of T-test, repeated measures Anova and Linear Mixed Models.
The document contains summaries of several SPARK student research projects being conducted under faculty mentors. The projects cover a wide range of topics and disciplines but are generally in the data collection or analysis stages. The students' roles involve tasks such as literature reviews, participant recruitment, data transcription, analysis and presentation preparation.
Development Of A Healthy Vending Toolkit Final Write Uplusimartin
This document describes a project to develop a Healthy Vending Toolkit for businesses in Knox County, Tennessee. The toolkit was created by a graduate student at the University of Tennessee Knoxville in partnership with the Knox County Health Department from January to March 2009. Surveys of employees and managers at local businesses were used to inform the toolkit's contents. The toolkit provides guidance for implementing healthy vending policies and increasing availability of healthier foods in vending machines with the goals of improving employee health and reducing obesity. A presentation of the toolkit was well-received by area business representatives. The toolkit will be made available to interested businesses through the Knox County Health Department.
A socio-ecological approach to physical activity interventions in childcare, ...Mari Inkinen
This systematic review analyzed 23 studies on physical activity interventions in childcare settings that aimed to increase physical activity levels in children aged 2-6 years. The interventions utilized multicomponent approaches targeting individual, social, and environmental factors based on a socio-ecological model. Fourteen studies found modest increases in physical activity or reductions in sedentary time, though overall physical activity levels remained low compared to guidelines. The review found limited evidence on which intervention components were most effective, though physical activity-specific teacher training showed potential. More intensive, multilevel interventions may be needed to significantly increase young children's physical activity.
This document presents a case study on using gamification and wearable lifestyle technologies for personal health management over two years. The author used various health monitoring devices and apps that tracked exercise, eating habits, and vital signs. This data helped the author lose over 20kg and improve his pre-diabetic condition. The automatic tracking and feedback encouraged sustained behavior changes. The study shows how these technologies can motivate people to better manage their health through immersive data and gamification rather than just increasing health knowledge.
This document outlines a health education program for Penn State University students. It establishes a mission and framework to increase student health awareness and promote healthy behaviors. The program identifies key health indicators like alcohol use, nutrition, sleep, and stress based on national surveys. It then sets objectives and proposed strategies to improve student health in each of these areas through online resources, social marketing, and on-campus programs and services.
Research Abstracts Vtrim's online healthy weight management programkmyerson
1) Several studies examined the efficacy of internet-based weight loss programs compared to in-person programs. Results showed that internet programs produced comparable weight loss to in-person programs over 12-18 months.
2) One study directly compared a structured behavioral internet weight loss program (VTrim) to a commercial self-help internet program (eDiets.com) and found that the structured program produced greater weight loss at both 6 and 12 months.
3) Other studies examined features of effective internet programs, finding that dynamic elements providing feedback and social support best predicted weight loss and maintenance. Accurate self-reporting of weight was also found.
A review of the evidence: School-based Interventions to Address Obesity Preve...Health Evidence™
Health Evidence hosted a 90 minute webinar, funded by the Canadian Institutes of Health Research (KTB-112487), on School-based Interventions to Address Obesity Prevention in Children 6-12 Years of Age presenting key messages, and implications for practice on Thursday, November 22nd, 2012 at 1:00 pm EST.
Kara DeCorby, Managing Director and Knowledge Broker for Health Evidence, lead the webinar, which included interactive discussion with Julie Charlebois and Paula Waddell, the authors of this review.
This webinar focused on interpreting the evidence in the following review:
Charlebois, J., Gowrinathan, Y., & Waddell, P. (2012). A Review of the Evidence: School-based Interventions to Address Obesity Prevention in Children 6-12 Years of Age. Toronto Public Health. Toronto, Ontario. (http://health-evidence.ca/documents/Final Report Sept 24-12.pdf)
Objectives: The goal of this intervention study was to examine the influence of an individualized evidence based psycho educational intervention on appraisal of caregivers (CGs).
Method: This pre-post longitudinal study (baseline, six, twelve and 18 months follow-up) was based on a psychoeducational
intervention (Progressively Lowered Stress Threshold (PLST) model) and a NYU caregiver intervention with 125 informal caregivers of community dwelling people with dementia (PWD). Statistical analysis consisted of T-test, repeated measures Anova and Linear Mixed Models.
The document contains summaries of several SPARK student research projects being conducted under faculty mentors. The projects cover a wide range of topics and disciplines but are generally in the data collection or analysis stages. The students' roles involve tasks such as literature reviews, participant recruitment, data transcription, analysis and presentation preparation.
Development Of A Healthy Vending Toolkit Final Write Uplusimartin
This document describes a project to develop a Healthy Vending Toolkit for businesses in Knox County, Tennessee. The toolkit was created by a graduate student at the University of Tennessee Knoxville in partnership with the Knox County Health Department from January to March 2009. Surveys of employees and managers at local businesses were used to inform the toolkit's contents. The toolkit provides guidance for implementing healthy vending policies and increasing availability of healthier foods in vending machines with the goals of improving employee health and reducing obesity. A presentation of the toolkit was well-received by area business representatives. The toolkit will be made available to interested businesses through the Knox County Health Department.
A socio-ecological approach to physical activity interventions in childcare, ...Mari Inkinen
This systematic review analyzed 23 studies on physical activity interventions in childcare settings that aimed to increase physical activity levels in children aged 2-6 years. The interventions utilized multicomponent approaches targeting individual, social, and environmental factors based on a socio-ecological model. Fourteen studies found modest increases in physical activity or reductions in sedentary time, though overall physical activity levels remained low compared to guidelines. The review found limited evidence on which intervention components were most effective, though physical activity-specific teacher training showed potential. More intensive, multilevel interventions may be needed to significantly increase young children's physical activity.
This document presents a case study on using gamification and wearable lifestyle technologies for personal health management over two years. The author used various health monitoring devices and apps that tracked exercise, eating habits, and vital signs. This data helped the author lose over 20kg and improve his pre-diabetic condition. The automatic tracking and feedback encouraged sustained behavior changes. The study shows how these technologies can motivate people to better manage their health through immersive data and gamification rather than just increasing health knowledge.
This document outlines a health education program for Penn State University students. It establishes a mission and framework to increase student health awareness and promote healthy behaviors. The program identifies key health indicators like alcohol use, nutrition, sleep, and stress based on national surveys. It then sets objectives and proposed strategies to improve student health in each of these areas through online resources, social marketing, and on-campus programs and services.
Setting a Path for Improved Health Outcomes RBFRBFHealth
Learning is a critical part of the HRITF RBF portfolio, with all programs benefiting from an embedded impact evaluation and in some cases, complemented by qualitative research components such as process evaluation studies. The presentation discusses the following topics:
1. Using RBF at the community-level to address demand side barriers
This presentation elaborates on the early evidence and the rationale for using RBF at the community level. It will share lessons learned from the implementation of community RBF at country level.
2. Using RBF to Strengthen Quality of Care: Early Lessons
This presentation discusses the broader policy implications of using RBF to strengthen the quality of care. It will explore how Measuring and Paying for the Quality of Care has been operationalized and will highlight the experience of Nigeria. Lastly, it will focus on measuring and Analyzing the Quality of Care from the Impact Evaluation perspective.
The nature of worksites makes it is an ideal opportunity for obesity control and prevention interventions. The National Institutes of Health has funded 119 grants between 2007 and 2014.
Originally presented at the George Washington University and ICF International Research and Evaluation Forum (#GWICF2015), Dr. Charlotte Pratt, Program Director at the National Health, Lung, and Blood Institute (NHLBI), gives an overview of worksite obesity research and the key questions they aim to answer:
Do interventions that modify the worksite food and physical activity environments (or combined with individual approaches) control body weight in adults?
Will participation in a worksite obesity intervention sustain and maintain weight loss, and reduce cardiovascular disease risk factors in adults?
In addition to the slides, you can watch the video for research details and outcomes as well as recommendations for future research: www.icfi.com/ObesityPreventionCharlottePratt
South Region CCG Mental Health Masterclass - EIP Preparedness ProgrammeSarah Amani
The Early Intervention in Mental Health Network's mission is to improve health and social outcomes for young people with first episode psychosis, including symptom reduction and engagement with education and employment.
This document is the beginning of a programme to help people work together in preparation of the regions task to achieve the above mission.
What is the Evidence and Return on Investment (ROI) of Obesity Prevention and...ICF
Originally presented at George Washington University's and ICF International's Research and Evaluation Forum (#GWICF2015), Dr. Ron Goetzel demonstrates why employers should look at value on investment (VOI) rather than return on investment (ROI) of workplace health promotion. Dr. Goetzel goes through:
• The severity and cost of obesity
• Why the workplace is the optimal environment for health programs
• Evidence and examples of how workplace health programs can bring VOI
• How employers can get VOI
To watch the video of Dr. Goetzel presenting these slides at the GW/ICF Research and Evaluation Forum, visit: http://www.icfi.com/ObesityPreventionRonGoetzel
This document discusses the WorkWell Kansas initiative, which aims to promote worksite wellness programs across the state. It provides an overview of the initiative's goals, which include engaging business and community leaders in supporting comprehensive worksite wellness programs. The initiative will provide resources and technical assistance to worksites over three years to help them develop and implement wellness plans. The intent is to create a culture where the healthy choice is the easy choice for employees.
Maximizing System-Level Data to Address Health and Social Complexity in ChildrenLucilePackardFoundation
An innovative methodology using system-level data to identify children with health complexity, that is based on medical and social complexity, is transforming how they consider improving quality of care in Oregon. Learn about this new standardized approach, developed by the Oregon Pediatric Improvement Partnership and Oregon Health Authority, and how it has helped inform priority areas, potential policy improvements, investments and partnerships in support of children with health complexity.
This document discusses a study that examined the moderating influence of stakeholder participation on the relationship between strategic management and performance of HIV/AIDS interventions managed by NGOs in Kenya's Nyanza region. The study used questionnaires and interviews with NGO staff to collect data on strategic planning practices, stakeholder involvement, and performance outcomes. Results found that NGOs involved stakeholders like boards, management, donors, consultants, and communities in strategic planning to a large extent. However, the moderating effect of stakeholder participation on the relationship between strategic management and intervention performance was found to be positive but insignificant. The study concluded that while NGOs engaged stakeholders in strategic planning, this involvement did not significantly improve the relationship between planning and
Addressing Obesity in the Workplace | State of the EvidenceICF
Originally presented at the George Washington University & ICF International Research and Evaluation Forum, Dr. Nico Pronk sets the stage for the ‘Obesity Prevention and Control in Worksite Settings’ panel by going through:
- The prevalence of adult obesity in the U.S.
- The complexity of obesity and the workplace
- The high cost of obesity
- How obesity affects function and therefore employee productivity
With these facts, what can employers do?
Dr. Pronk provides a framework and a business case continuum for employers to follow to help address obesity and community health.
To watch the video of Dr. Nico Pronk presenting these slides, visit: http://www.icfi.com/ObesityPreventionNicoPronk
This document summarizes research on the effects of physical activity on attention in school-aged children. Several studies found that physical activity breaks during the school day improved children's time spent focused and on-task, as well as decreasing disruptive behaviors. One study found improved cognitive performance and attention on days when children had physical education class compared to sedentary days. The research suggests physical activity can positively impact attention, behavior, and academic performance in children.
The document discusses the new public health system in England and its implications for sport and physical activity organizations. It covers the establishment of Public Health England and health and wellbeing boards, and how these changes will require demonstrating impact and forming local partnerships. The Youth Sport Trust is provided as an example of aligning programs with health outcomes, partnering with local authorities, and independently evaluating initiatives like Change4Life sports clubs in schools. Attendees are encouraged to consider how to advocate, create new partnerships, and demonstrate impact in their own organizations.
Hilary Gunn - Falls in MS: managing complexity and complicationsMS Trust
This document summarizes a workshop on falls in multiple sclerosis (MS). It discusses that falls are common in MS, with over half of individuals experiencing at least one fall. Falls can lead to injuries and fear of falling is also prevalent. The causes of falls in MS are complex, with contributions from physiological, psychological, and contextual factors. Interventions to address falls must consider this complexity. The workshop then describes a trial of a complex falls intervention for people with MS called BRiMS. The BRiMS intervention includes an exercise program, education, and self-management support delivered over 13 weeks with both individual and group elements. Evaluation of BRiMS focuses on feasibility and potential outcomes like falls rates.
Update on regional performance of the South West and South East Early Intervention in Psychosis (EIP) programme including the support offered to NHS England to achieve the nationally set standards.
How to Ensure Counseling is NOT a Mini-Lecture_Sergine Diene and Rebecca Egan...CORE Group
This document discusses the Nutrition Assessment, Counseling and Support (NACS) approach. It provides an overview of NACS, which includes nutrition assessment, counseling, and support. Counseling is a key component of NACS and focuses on areas like optimal diet, managing symptoms, and medication adherence. The effectiveness of counseling can be difficult to measure but areas to improve it include better training, community-based approaches, and contextualizing messages. FANTA is working on initiatives to strengthen NACS counseling through materials, guidance, and evaluations.
Effectiveness of Structured Teaching Programme on Promotion of Mental Health ...ijtsrd
BACKGROUND: "No health without mental health" The tender the age;more probability of getting affected"Promotion of mental health is a recommended intervention and a step lead ahead in primary level prevention. Latest National survey of childrens mental health found that 1 in 10 children and young child aged 5-16 had a clinicallyrecognizable mental disorder.OBJECTIVES OF THE STUDY:1. To assess the existing knowledge regarding promotion of mental health in children among rural mothers.2. To assess the post test knowledge regarding promotion of mental health in children among rural mothers.3. To assess the effectiveness of structured teaching programme of mental health in children among rural mothers.4. to associate the pre-test knowledge regarding promotion of mental health in their children.METHODS The modified conceptual framework for the present study was based on General System Model by Ludwig Von Bertalanffys(1968).Quasi experimental one group pretest posttest research design was adopted for the study.The structured Interview Schedule was developed to collect the data validated by various experts.Pilot study was conducted among 6 mothers in Byrohalli village-Kengeri,Bangalore to find the feasibility of the study.The main study was conducted at Somannahalli and ChikkaGolahalli rual community in Bangalore from among 60 rural mothers,who were selected by using non probability convenience sampling technique and the data collected was analyzed and interpreted based on descriptive and inferential statistics.RESULTS:the assessments of knoweldge level of mothers on mental health promotion revealed that the mean pretest was 10.81 with standard deviated 1.57. Mean posttest was 21.48 with standard deviation 1.76.INTERPRETATION & CONCLUSION:The study shows that the structured teaching programme was effective in improving the knowledge regaring promotion of mental health in children among the rural mothers.there was significant association between the knowledge scores of rural mothers who attended the structured teaching programme at p level http://www.ijtsrd.com/medicine/nursing/2472/effectiveness-of-structured-teaching-programme-on-promotion-of-mental-health-in-children-among-mothers-of-rural-community/jyoti-laxmi-chetty
This document summarizes key aspects of employee wellness programs. It discusses the goals of improving employee health and reducing health risks like obesity, high blood pressure, and smoking. Effective programs provide health screenings and assessments, education on healthy behaviors, and incentives or coaching to encourage participation and lifestyle changes. While studies have found mixed results on cost savings, well-designed programs that engage employees and leadership can generate returns of $3-6 for every $1 invested after 3-5 years by reducing healthcare costs and absenteeism. New types of programs include participatory programs with no health requirements or activity-only/outcome-based programs with rewards contingent on health-related activities or outcomes.
Day 2 panel 3 scaling up care for perinatal depression ng 108040ea-imcha
This document summarizes a study on perinatal depression in Nigeria. The study aims to improve detection and treatment of perinatal depression through training primary care providers. So far, the study has recruited over 2000 women and found a perinatal depression rate of 7-19%. The study is conducting interviews and assessments of primary care clinics. Challenges include low detection rates, lack of private screening spaces, and difficulties locating patients. The study is engaging with health officials and building capacity. Next steps include finalizing training materials and training trainers to scale the intervention. A related proposed study would adapt interventions for adolescent mothers, who are a high-risk group.
This study compared the effects of two worksite walking interventions - a standard program and an enhanced program - on employee participation rates, daily step counts, and health outcomes. The enhanced program, which included incentives, feedback, challenges and workshops, resulted in employees averaging 726 more daily steps than the standard program. Increasing daily steps by 1000 was associated with weight loss and reductions in body mass index. The enhanced program significantly increased participation rates and daily steps, demonstrating the value of worksite wellness interventions.
Respond to this classmates like in the other posts you have done.docxinfantkimber
Respond to this classmates like in the other posts you have done
Carolina
1
Based on the needs assessment of the Carilion Clinic, they immediately began to work on investments such as new accessible health service buildings in different areas of the region and community. This was done by collaborating with a variety of organizations, such as the United Way of Roanoke Valley. For instance, New Horizons Dental Clinic was created based on the data presented by the community needs assessment demonstrating the great need for accessible dental care. Nancy Agee, President and CEO of Carilion Clinic states in the video that collaborating with many different organizations is critical in order to “look at the whole diversity of our region and strengthen relationships so we’re not replicating efforts, but rather we’re complementing and strengthening our efforts to improve health” (2015). I believe the needs assessment allowed them to specifically pinpoint what their community needed, and this allowed them to truly help the community directly. I would recommend the clinic to continue to utilize surveys and the needs assessment to focus on the community itself. This is because the alternative data sources available on a national and state level is not sufficient. The more Carilion Clinic interacts with the community directly, the more beneficial it will be for communities across the region, as well as themselves.
2
Needs assessment, program planning and evaluation are all integrated. For instance, as the book states “the evaluation of a program begins with its needs assessment. Data collected during a needs assessment can often serve as part of the baseline or “pretest” data needed for impact and outcome evaluations” (
Hodges & Videto, 2011, p.4). In other words, in order to for program planning to be successful, it is critical a needs assessment is done and followed by an evaluation of the needs assessment.
3
MAPP, as stated in the text, begins with the development of partnerships and identifying the participants for the needs assessment (Hodges & Videto, 2011, p.10). MAPP was used by Carilion Clinic though the use of their collaboration with other organizations, non-profits, health agencies, and the government. This strengthened the Carilion clinic’s goal as it provided more resources to accomplish the shared vision of improving the communities’ quality of life and delivery of care. APEXPH was used through its three parts throughout Carilion Clinic’s process. The first part, which as mentioned in the book is the self-assessment, was illustrated in the beginning of the video when Nancy, President and CEO, states the issues and goals at hand. The second part, the community process, is demonstrated with the community health needs assessment committee. This is the part where the program objective is derived from. The third part, concluding the cycle, is seen in the example of the New Horizon’s Dental Clinic, where Carilion’s decision based on the ne ...
Researchers analyzed large datasets on diet, physical activity, and stress to understand lifestyle habits and identify effective ways to promote healthy changes. One dataset contained 8 million photos of meals taken by mobile users to receive peer feedback on healthiness, which was found to be as accurate as experts. Another dataset contained heartbeat variations for 30,000 people, allowing analysis of actual exercise levels compared to recommendations. The goal is to combine such data insights to better understand morbidity and performance, and evaluate programs to encourage healthy lifestyles.
This study examined the feasibility of using Fitbit Flex activity trackers in a 7-week walking program for 12 individuals with schizophrenia spectrum disorder (SSD). Participants received weekly step count goals and meetings to discuss physical activity. Most participants increased daily step counts, and reported improvements in performance and satisfaction with activities. While no changes in body composition were found, participants identified the Fitbit, step count increases, and praise as motivators for physical activity. Medication side effects were the primary barrier reported. The study demonstrates that wearable trackers may help track and encourage walking in individuals with SSD.
Setting a Path for Improved Health Outcomes RBFRBFHealth
Learning is a critical part of the HRITF RBF portfolio, with all programs benefiting from an embedded impact evaluation and in some cases, complemented by qualitative research components such as process evaluation studies. The presentation discusses the following topics:
1. Using RBF at the community-level to address demand side barriers
This presentation elaborates on the early evidence and the rationale for using RBF at the community level. It will share lessons learned from the implementation of community RBF at country level.
2. Using RBF to Strengthen Quality of Care: Early Lessons
This presentation discusses the broader policy implications of using RBF to strengthen the quality of care. It will explore how Measuring and Paying for the Quality of Care has been operationalized and will highlight the experience of Nigeria. Lastly, it will focus on measuring and Analyzing the Quality of Care from the Impact Evaluation perspective.
The nature of worksites makes it is an ideal opportunity for obesity control and prevention interventions. The National Institutes of Health has funded 119 grants between 2007 and 2014.
Originally presented at the George Washington University and ICF International Research and Evaluation Forum (#GWICF2015), Dr. Charlotte Pratt, Program Director at the National Health, Lung, and Blood Institute (NHLBI), gives an overview of worksite obesity research and the key questions they aim to answer:
Do interventions that modify the worksite food and physical activity environments (or combined with individual approaches) control body weight in adults?
Will participation in a worksite obesity intervention sustain and maintain weight loss, and reduce cardiovascular disease risk factors in adults?
In addition to the slides, you can watch the video for research details and outcomes as well as recommendations for future research: www.icfi.com/ObesityPreventionCharlottePratt
South Region CCG Mental Health Masterclass - EIP Preparedness ProgrammeSarah Amani
The Early Intervention in Mental Health Network's mission is to improve health and social outcomes for young people with first episode psychosis, including symptom reduction and engagement with education and employment.
This document is the beginning of a programme to help people work together in preparation of the regions task to achieve the above mission.
What is the Evidence and Return on Investment (ROI) of Obesity Prevention and...ICF
Originally presented at George Washington University's and ICF International's Research and Evaluation Forum (#GWICF2015), Dr. Ron Goetzel demonstrates why employers should look at value on investment (VOI) rather than return on investment (ROI) of workplace health promotion. Dr. Goetzel goes through:
• The severity and cost of obesity
• Why the workplace is the optimal environment for health programs
• Evidence and examples of how workplace health programs can bring VOI
• How employers can get VOI
To watch the video of Dr. Goetzel presenting these slides at the GW/ICF Research and Evaluation Forum, visit: http://www.icfi.com/ObesityPreventionRonGoetzel
This document discusses the WorkWell Kansas initiative, which aims to promote worksite wellness programs across the state. It provides an overview of the initiative's goals, which include engaging business and community leaders in supporting comprehensive worksite wellness programs. The initiative will provide resources and technical assistance to worksites over three years to help them develop and implement wellness plans. The intent is to create a culture where the healthy choice is the easy choice for employees.
Maximizing System-Level Data to Address Health and Social Complexity in ChildrenLucilePackardFoundation
An innovative methodology using system-level data to identify children with health complexity, that is based on medical and social complexity, is transforming how they consider improving quality of care in Oregon. Learn about this new standardized approach, developed by the Oregon Pediatric Improvement Partnership and Oregon Health Authority, and how it has helped inform priority areas, potential policy improvements, investments and partnerships in support of children with health complexity.
This document discusses a study that examined the moderating influence of stakeholder participation on the relationship between strategic management and performance of HIV/AIDS interventions managed by NGOs in Kenya's Nyanza region. The study used questionnaires and interviews with NGO staff to collect data on strategic planning practices, stakeholder involvement, and performance outcomes. Results found that NGOs involved stakeholders like boards, management, donors, consultants, and communities in strategic planning to a large extent. However, the moderating effect of stakeholder participation on the relationship between strategic management and intervention performance was found to be positive but insignificant. The study concluded that while NGOs engaged stakeholders in strategic planning, this involvement did not significantly improve the relationship between planning and
Addressing Obesity in the Workplace | State of the EvidenceICF
Originally presented at the George Washington University & ICF International Research and Evaluation Forum, Dr. Nico Pronk sets the stage for the ‘Obesity Prevention and Control in Worksite Settings’ panel by going through:
- The prevalence of adult obesity in the U.S.
- The complexity of obesity and the workplace
- The high cost of obesity
- How obesity affects function and therefore employee productivity
With these facts, what can employers do?
Dr. Pronk provides a framework and a business case continuum for employers to follow to help address obesity and community health.
To watch the video of Dr. Nico Pronk presenting these slides, visit: http://www.icfi.com/ObesityPreventionNicoPronk
This document summarizes research on the effects of physical activity on attention in school-aged children. Several studies found that physical activity breaks during the school day improved children's time spent focused and on-task, as well as decreasing disruptive behaviors. One study found improved cognitive performance and attention on days when children had physical education class compared to sedentary days. The research suggests physical activity can positively impact attention, behavior, and academic performance in children.
The document discusses the new public health system in England and its implications for sport and physical activity organizations. It covers the establishment of Public Health England and health and wellbeing boards, and how these changes will require demonstrating impact and forming local partnerships. The Youth Sport Trust is provided as an example of aligning programs with health outcomes, partnering with local authorities, and independently evaluating initiatives like Change4Life sports clubs in schools. Attendees are encouraged to consider how to advocate, create new partnerships, and demonstrate impact in their own organizations.
Hilary Gunn - Falls in MS: managing complexity and complicationsMS Trust
This document summarizes a workshop on falls in multiple sclerosis (MS). It discusses that falls are common in MS, with over half of individuals experiencing at least one fall. Falls can lead to injuries and fear of falling is also prevalent. The causes of falls in MS are complex, with contributions from physiological, psychological, and contextual factors. Interventions to address falls must consider this complexity. The workshop then describes a trial of a complex falls intervention for people with MS called BRiMS. The BRiMS intervention includes an exercise program, education, and self-management support delivered over 13 weeks with both individual and group elements. Evaluation of BRiMS focuses on feasibility and potential outcomes like falls rates.
Update on regional performance of the South West and South East Early Intervention in Psychosis (EIP) programme including the support offered to NHS England to achieve the nationally set standards.
How to Ensure Counseling is NOT a Mini-Lecture_Sergine Diene and Rebecca Egan...CORE Group
This document discusses the Nutrition Assessment, Counseling and Support (NACS) approach. It provides an overview of NACS, which includes nutrition assessment, counseling, and support. Counseling is a key component of NACS and focuses on areas like optimal diet, managing symptoms, and medication adherence. The effectiveness of counseling can be difficult to measure but areas to improve it include better training, community-based approaches, and contextualizing messages. FANTA is working on initiatives to strengthen NACS counseling through materials, guidance, and evaluations.
Effectiveness of Structured Teaching Programme on Promotion of Mental Health ...ijtsrd
BACKGROUND: "No health without mental health" The tender the age;more probability of getting affected"Promotion of mental health is a recommended intervention and a step lead ahead in primary level prevention. Latest National survey of childrens mental health found that 1 in 10 children and young child aged 5-16 had a clinicallyrecognizable mental disorder.OBJECTIVES OF THE STUDY:1. To assess the existing knowledge regarding promotion of mental health in children among rural mothers.2. To assess the post test knowledge regarding promotion of mental health in children among rural mothers.3. To assess the effectiveness of structured teaching programme of mental health in children among rural mothers.4. to associate the pre-test knowledge regarding promotion of mental health in their children.METHODS The modified conceptual framework for the present study was based on General System Model by Ludwig Von Bertalanffys(1968).Quasi experimental one group pretest posttest research design was adopted for the study.The structured Interview Schedule was developed to collect the data validated by various experts.Pilot study was conducted among 6 mothers in Byrohalli village-Kengeri,Bangalore to find the feasibility of the study.The main study was conducted at Somannahalli and ChikkaGolahalli rual community in Bangalore from among 60 rural mothers,who were selected by using non probability convenience sampling technique and the data collected was analyzed and interpreted based on descriptive and inferential statistics.RESULTS:the assessments of knoweldge level of mothers on mental health promotion revealed that the mean pretest was 10.81 with standard deviated 1.57. Mean posttest was 21.48 with standard deviation 1.76.INTERPRETATION & CONCLUSION:The study shows that the structured teaching programme was effective in improving the knowledge regaring promotion of mental health in children among the rural mothers.there was significant association between the knowledge scores of rural mothers who attended the structured teaching programme at p level http://www.ijtsrd.com/medicine/nursing/2472/effectiveness-of-structured-teaching-programme-on-promotion-of-mental-health-in-children-among-mothers-of-rural-community/jyoti-laxmi-chetty
This document summarizes key aspects of employee wellness programs. It discusses the goals of improving employee health and reducing health risks like obesity, high blood pressure, and smoking. Effective programs provide health screenings and assessments, education on healthy behaviors, and incentives or coaching to encourage participation and lifestyle changes. While studies have found mixed results on cost savings, well-designed programs that engage employees and leadership can generate returns of $3-6 for every $1 invested after 3-5 years by reducing healthcare costs and absenteeism. New types of programs include participatory programs with no health requirements or activity-only/outcome-based programs with rewards contingent on health-related activities or outcomes.
Day 2 panel 3 scaling up care for perinatal depression ng 108040ea-imcha
This document summarizes a study on perinatal depression in Nigeria. The study aims to improve detection and treatment of perinatal depression through training primary care providers. So far, the study has recruited over 2000 women and found a perinatal depression rate of 7-19%. The study is conducting interviews and assessments of primary care clinics. Challenges include low detection rates, lack of private screening spaces, and difficulties locating patients. The study is engaging with health officials and building capacity. Next steps include finalizing training materials and training trainers to scale the intervention. A related proposed study would adapt interventions for adolescent mothers, who are a high-risk group.
This study compared the effects of two worksite walking interventions - a standard program and an enhanced program - on employee participation rates, daily step counts, and health outcomes. The enhanced program, which included incentives, feedback, challenges and workshops, resulted in employees averaging 726 more daily steps than the standard program. Increasing daily steps by 1000 was associated with weight loss and reductions in body mass index. The enhanced program significantly increased participation rates and daily steps, demonstrating the value of worksite wellness interventions.
Respond to this classmates like in the other posts you have done.docxinfantkimber
Respond to this classmates like in the other posts you have done
Carolina
1
Based on the needs assessment of the Carilion Clinic, they immediately began to work on investments such as new accessible health service buildings in different areas of the region and community. This was done by collaborating with a variety of organizations, such as the United Way of Roanoke Valley. For instance, New Horizons Dental Clinic was created based on the data presented by the community needs assessment demonstrating the great need for accessible dental care. Nancy Agee, President and CEO of Carilion Clinic states in the video that collaborating with many different organizations is critical in order to “look at the whole diversity of our region and strengthen relationships so we’re not replicating efforts, but rather we’re complementing and strengthening our efforts to improve health” (2015). I believe the needs assessment allowed them to specifically pinpoint what their community needed, and this allowed them to truly help the community directly. I would recommend the clinic to continue to utilize surveys and the needs assessment to focus on the community itself. This is because the alternative data sources available on a national and state level is not sufficient. The more Carilion Clinic interacts with the community directly, the more beneficial it will be for communities across the region, as well as themselves.
2
Needs assessment, program planning and evaluation are all integrated. For instance, as the book states “the evaluation of a program begins with its needs assessment. Data collected during a needs assessment can often serve as part of the baseline or “pretest” data needed for impact and outcome evaluations” (
Hodges & Videto, 2011, p.4). In other words, in order to for program planning to be successful, it is critical a needs assessment is done and followed by an evaluation of the needs assessment.
3
MAPP, as stated in the text, begins with the development of partnerships and identifying the participants for the needs assessment (Hodges & Videto, 2011, p.10). MAPP was used by Carilion Clinic though the use of their collaboration with other organizations, non-profits, health agencies, and the government. This strengthened the Carilion clinic’s goal as it provided more resources to accomplish the shared vision of improving the communities’ quality of life and delivery of care. APEXPH was used through its three parts throughout Carilion Clinic’s process. The first part, which as mentioned in the book is the self-assessment, was illustrated in the beginning of the video when Nancy, President and CEO, states the issues and goals at hand. The second part, the community process, is demonstrated with the community health needs assessment committee. This is the part where the program objective is derived from. The third part, concluding the cycle, is seen in the example of the New Horizon’s Dental Clinic, where Carilion’s decision based on the ne ...
Researchers analyzed large datasets on diet, physical activity, and stress to understand lifestyle habits and identify effective ways to promote healthy changes. One dataset contained 8 million photos of meals taken by mobile users to receive peer feedback on healthiness, which was found to be as accurate as experts. Another dataset contained heartbeat variations for 30,000 people, allowing analysis of actual exercise levels compared to recommendations. The goal is to combine such data insights to better understand morbidity and performance, and evaluate programs to encourage healthy lifestyles.
This study examined the feasibility of using Fitbit Flex activity trackers in a 7-week walking program for 12 individuals with schizophrenia spectrum disorder (SSD). Participants received weekly step count goals and meetings to discuss physical activity. Most participants increased daily step counts, and reported improvements in performance and satisfaction with activities. While no changes in body composition were found, participants identified the Fitbit, step count increases, and praise as motivators for physical activity. Medication side effects were the primary barrier reported. The study demonstrates that wearable trackers may help track and encourage walking in individuals with SSD.
SUPPORTING LARGE-SCALE NUTRITION ANALYSIS BASED ON DIETARY SURVEY DATAhiij
While online survey systems facilitate the collection on copious records on diet, exercise and other healthrelated
data, scientists and other public health experts typically must download data from those systems
into external tools for conducting statistical analyses. A more convenient approach would enable
researchers to perform analyses online, without the need to coordinate additional analysis tools. This
paper presents a system illustrating such an approach, using as a testbed the WAVE project, which is a 5-
year childhood obesity prevention initiative being conducted at Oregon State University by health scientists
utilizing a web application called WavePipe. This web application has enabled health scientists to create
studies, enrol subjects, collect physical activity data, and collect nutritional data through online surveys.
This paper presents a new sub-system that enables health scientists to analyse and visualize nutritional
profiles based on large quantities of 24-hour dietary recall records for sub-groups of study subjects over
any desired period of time. In addition, the sub-system enables scientists to enter new food information
from food composition databases to build a comprehensive food profile. Interview feedback from novice
health science researchers using the new functionality indicated that it provided a usable interface and
generated high receptiveness to using the system in practice.
SUPPORTING LARGE-SCALE NUTRITION ANALYSIS BASED ON DIETARY SURVEY DATAhiij
While online survey systems facilitate the collection on copious records on diet, exercise and other healthrelated data, scientists and other public health experts typically must download data from those systems
into external tools for conducting statistical analyses. A more convenient approach would enable
researchers to perform analyses online, without the need to coordinate additional analysis tools. This
paper presents a system illustrating such an approach, using as a testbed the WAVE project, which is a 5-
year childhood obesity prevention initiative being conducted at Oregon State University by health scientists
utilizing a web application called WavePipe. This web application has enabled health scientists to create
studies, enrol subjects, collect physical activity data, and collect nutritional data through online surveys.
This paper presents a new sub-system that enables health scientists to analyse and visualize nutritional
profiles based on large quantities of 24-hour dietary recall records for sub-groups of study subjects over
any desired period of time. In addition, the sub-system enables scientists to enter new food information
from food composition databases to build a comprehensive food profile. Interview feedback from novice
health science researchers using the new functionality indicated that it provided a usable interface and
generated high receptiveness to using the system in practice.
SUPPORTING LARGE-SCALE NUTRITION ANALYSIS BASED ON DIETARY SURVEY DATAhiij
While online survey systems facilitate the collection on copious records on diet, exercise and other healthrelated data, scientists and other public health experts typically must download data from those systems
into external tools for conducting statistical analyses. A more convenient approach would enable
researchers to perform analyses online, without the need to coordinate additional analysis tools. This
paper presents a system illustrating such an approach, using as a testbed the WAVE project, which is a 5-
year childhood obesity prevention initiative being conducted at Oregon State University by health scientists
utilizing a web application called WavePipe. This web application has enabled health scientists to create
studies, enrol subjects, collect physical activity data, and collect nutritional data through online surveys.
This paper presents a new sub-system that enables health scientists to analyse and visualize nutritional
profiles based on large quantities of 24-hour dietary recall records for sub-groups of study subjects over
any desired period of time. In addition, the sub-system enables scientists to enter new food information
from food composition databases to build a comprehensive food profile. Interview feedback from novice
health science researchers using the new functionality indicated that it provided a usable interface and
generated high receptiveness to using the system in practice.
SUPPORTING LARGE-SCALE NUTRITION ANALYSIS BASED ON DIETARY SURVEY DATAhiij
While online survey systems facilitate the collection on copious records on diet, exercise and other healthrelated data, scientists and other public health experts typically must download data from those systems
into external tools for conducting statistical analyses. A more convenient approach would enable
researchers to perform analyses online, without the need to coordinate additional analysis tools. This
paper presents a system illustrating such an approach, using as a testbed the WAVE project, which is a 5-
year childhood obesity prevention initiative being conducted at Oregon State University by health scientists
utilizing a web application called WavePipe. This web application has enabled health scientists to create
studies, enrol subjects, collect physical activity data, and collect nutritional data through online surveys.
This paper presents a new sub-system that enables health scientists to analyse and visualize nutritional
profiles based on large quantities of 24-hour dietary recall records for sub-groups of study subjects over
any desired period of time. In addition, the sub-system enables scientists to enter new food information
from food composition databases to build a comprehensive food profile. Interview feedback from novice
health science researchers using the new functionality indicated that it provided a usable interface and
generated high receptiveness to using the system in practice.
This document summarizes research from over 50 studies evaluating interventions to increase physical activity levels across different age groups and settings. The research shows mixed results, with some interventions like tailored walking programs and changes to the built environment effectively increasing activity, while other school-based programs had little impact. Overall, the review finds that there are no single solutions and a range of factors must be addressed to help populations become more active.
A Master’s Thesis for OTH-670- Research Seminar IIJulia Christian
This document appears to be a thesis submitted by two occupational therapy students to fulfill requirements for a master's degree. It includes an abstract that summarizes a study on the effects of physical activity on adolescent well-being. The thesis contains sections on literature review, methods, results, and discussion. The literature review explores trends in adolescent physical activity, definitions of wellness, the impact of physical activity on different aspects of wellness, and environmental factors related to physical activity. The purpose is to examine the association between physical activity and adolescent wellness. The methods section describes the mixed methods study design, including surveys distributed to high school students to collect data on physical activity and wellness. The results and discussion sections analyze and interpret the findings of
Running head PSYCHOLOGY1PSYCHOLOGY7Programmatic pur.docxtoltonkendal
Running head: PSYCHOLOGY
1
PSYCHOLOGY
7
Programmatic purposes and outcomes
Shekima Jacob
South University
Programmatic purposes and outcomes
Select and discuss three programmatic purposes and outcomes that should be evaluated. In your discussion, provide the rationale for the purposes and outcomes selected. It will be assumed the purposes and outcomes selected were influenced by the program being evaluated.
The program that I will be discussing is human service programs. In the abiding endeavor to enhance human service programs, service providers, policy makers and funders are more and more recognizing the significance of thorough program evaluations. They want to know what the programs achieve, what they spend, and how they must be operated to attain maximum cost efficiency. They want to recognize which programs function for which groups, and they need endings based on proof, as opposed to impassioned pleas and testimonials. The purposes should state the extensive, extensive range result that maintains the mission of the program, including content information areas, performance prospects, and values anticipated of program graduates. Purposes can be stated in wider and more stirring language than outcomes that have to be measurable and specific. Outcome is the reason nonprofit organizations struggle to build capacity and deliver programs. Measurement of outcomes is the systematic way of assessing the extent to which a program has attained its intended results.
The programmatic purposes and outcomes that should be evaluated include:
Programmatic purposes
· To monitor functions for the Health and Human Services department.
Without departments, the purpose or goals of human services would be very hard to fulfill. Human services is a very large sector that entails a wide range of skills, knowledge and disciplines focused on enhancing the well being of human both collectively and individually. Just like there are a lot of sectors in human services, so too there are a huge variety of functions of the human service programs that need to be evaluated so as to accomplish the purpose of the program (Connell, Kubisch, Schorr & Weiss, 1995). One of the programmatic purposes of human service programs is to monitor functions for the Health and Human Services department. Any department or even sector requires frequent checks to make sure that it is functioning well and according to the purpose. This purpose is very crucial in the execution of the human service program goals. It needs to be evaluated to make sure that the functions of the health and human service department are in line with the programmatic purposes of the program.
· Assessing internal control over compliance requirements to provide reasonable assurance.
The compliance requirements are very crucial in every program as they make sure that the program is in line with its goals and makes sure it works towards achieving its stipulated outcomes. This purpose needs to be evaluated to m ...
Running head LOGIC MODELLOGIC MODEL 2Logic modelStu.docxwlynn1
Running head: LOGIC MODEL
LOGIC MODEL
2
Logic model
Student’s name
University affiliation
Date
References
Blue-Howells, J., McGuire, J., & Nakashima, J. (2008). Co-location of health care services for homeless veterans: a case study of innovation in program implementation. Social work in health care, 47(3), 219-231.
Output
Integrating patient care
Communication and collaboration between workers hence resulting to communities of practicing clinicians
Attracting new patients to GLA
Funding a two-year pilot grant
Effective process for psychiatric screening for homeless patients
Outcomes
Homeless project were integrated
The issues of homeless veterans were addressed due to institutional barriers
There was creation of coalition and linking the project to legitimate VA-wide goals
Good sustained program maintenance, process evaluation and encouraging development of communities.
Activities
Building a coalition of decision makers
Introduction of a new integrated program
Inputs
The decision to implement
Initial implementation
Sustained maintenance
Termination or transformation
Running head: PROGRAM EVALUATION 1
PROGRAM EVALUATION 2
Program Evaluation
Institutional Affiliation
Insert the student’s name
Instructor’s name
Course
Date
Introduction
Evaluation of the program is usually done to in order to determine the quality of the program, how effective the program is and how the program is performing. This can help to know if the program is making a significant difference among the targeted people. It can also assist to know if the program is functioning or not. This paper therefore seeks to evaluate the program which is assisting the homeless people within the community.
The two program evaluation questions are: what is the reach of the program? And what has been the impact of the program on the homeless people? The answers to these questions would elicit both qualitative and quantitative results. Therefore, the program evaluation will require both quantitative and qualitative data collection plan. This is because the use of mixed-method approach is convenient since the results and findings would be reliable (Creswell, 2017). After identifying the evaluation program questions, the next step will be to come up with plan of evaluating a program. The plan should consist of methods of collecting data, evidences, the person responsible and the duration.
Program Evaluation Question
Evidence
Methods and sources of collecting data
Person in charge
Duration
1. What is the reach of the program?
Number of building materials distributed
Records of the program
Robert
One month
2. What has been the impact of the program on the homeless people?
Number of people resettled
Number of people not yet re.
Physical activity healthy people 2020 pdfErin Thornton
The Physical Activity Guidelines for Americans (PAG) provides science-based guidelines to help Americans aged 6 and older improve their health through appropriate physical activity. The PAG was first released in 2008 and is part of Healthy People 2020. Healthy People 2020 guidelines recommend that children and adolescents get at least 60 minutes of moderate physical activity per week, while adults aim for 150 minutes of moderate exercise or 75 minutes of vigorous activity per week. However, over 80% of US adults and adolescents do not meet these physical activity guidelines.
- There is a need for a more collaborative business model between EPE and programs to better integrate epidemiology, evaluation and programmatic expertise from the beginning of planning through implementation and evaluation.
- An ideal model would have epidemiologists, evaluators and program staff working more as horizontal partners at each stage of the public health process.
- This could involve co-locating staff when possible, as well as better aligning goals and communication across divisions.
- Developing joint logic models and sharing data more openly were discussed as ways to break down barriers between groups and improve multi-disciplinary work.
The Relationship Between Physical Activity and Cognition in Children: A Meta-...videosplay360
The purpose of this study was to quantitatively combine and examine the re- sults of studies pertaining to physical activity and cognition in children. Stud- ies meeting the inclusion criteria were coded based on design and descriptive characteristics, subject characteristics, activity characteristics, and cognitive assessment method.
Action Research Project Servant Leadership Approach to Employee Wellnessjeffreytabor
The document outlines an action research project that aims to develop an effective workplace wellness program at a rural hospital using servant leadership principles. Research was conducted through employee surveys that found most employees want to improve their lifestyle but feel overwhelmed. An action plan was developed to form wellness committees focused on topics like nutrition, exercise, and education to design a program tailored to employee needs and goals. The program will be evaluated through ongoing surveys and modifications.
Researchers at Iowa State University are working to improve a tool called the Youth Activity Profile that helps schools measure how active students are. The tool more accurately estimates time spent in physical activity and sedentary behavior by calibrating self-reported data with objective monitors. Researchers received a grant to refine the tool so it can account for factors like climate, location, and season that impact activity levels. Improving this measurement tool will help schools better promote physical activity and reduce childhood obesity.
The document discusses factors that influence citizens' engagement in leisure-time physical activity (LPTA) and how government organizations can encourage physical activity. It analyzes data on LPTA and predictors like race, unemployment, and farm-produced food consumption across racial groups from 2003-2012. Regression models show unemployment is highly correlated with LPTA, while farm-produced food consumption and race also have small correlations. The goal is to identify opportunities for the Department of Health and Human Services to increase aggregate physical activity levels and associated economic benefits.
The document discusses the role of school nurses in promoting student health and wellness. It begins by noting that many children today prioritize screen time over physical activity, exacerbating declining healthy habits. As a result, school nurses must take a leading role in developing and implementing strategies to improve student wellness. The document then defines school nursing as advancing student well-being, success, and lifelong achievement through facilitating positive development. It provides examples of school nurse responsibilities like promoting health, intervening in existing/potential issues, and building student/family self-management. Finally, it states that further research is needed on implementing wellness programs in Chinese schools, as existing research focuses primarily on Western cultures.
1. Introduction
Literature Review
Results
Discussion
The Town of Prosper is a wealthy suburban town located in Collin and Denton counties
within the state of Texas, United States. Within the last few years, many businesses, neighborhoods,
and houses and have been built to accommodate the rush of people entering the town. Due to this
increase in volume, the amount of town employees have increased from around 80 employees to
140 in only 3 years and only seems to be growing. Due to the fact that many businesses are new,
there are a small number of fitness facilities while many of the restaurants are fast and don’t offer a
variety of healthy options.
The Towns Wellness Program for the Prosper employees is very limited and not well
established. There is a Benefits and Wellness Committee that was established earlier this year and
consists of 8 of the Town’s directors and staff. This committee rarely meets and never evaluates the
progression of health within the town staff. However, they are in charge of creating activities and the
benefits within the wellness program.
The purpose of this project was to increase the overall wellness program for the town
employees. In order to accomplish this, more activities must be offered at multiple times to create a
more versatile program. These activities produced an incentive by giving out wellness points to lower
each employees health care premium for the year while being entered for a drawing for raffle prizes
provided by human resources. An objective for the purpose includes increasing participation within
scheduled monthly activities by 25%. This will, in turn, decreasing sedentary time throughout the day
by 25% as well. In a way to promote physical activity and scheduled events, online informational
flyers will be sent out weekly.
The hypothesis, when compared to the literature, isthat if weekly informational flyers will be
sent out and more activities are offered, sedentary time will be reduced while the participation within
activities will increase among the town employees.
The driving force of the project was the Theory of Reasoned Action and Planned Behavior
along with the International Physical Activity Questionnaire (IPAQ). A questionnaire was designed
to provide information directly for the theory and was combined with the IPAQ to create one
questionnaire consisting of 20 parts, which was titled the Belief of Physical Exercise
Questionnaire. Icek Ajzen created the Theory of Reasoned Action and Planned Behavior in 1991,
and 15 years later, created a template for a questionnaire in 2006. This was a major reference
regarding the creation of the the Belief of Physical Exercise Questionnaire. Others researched this
theory as a model for understanding sedentary behavior and determined that the “subjective
norms appear to be a strong predictor of sedentary intentions whereas sedentary intentions
appear to be a strong predictor of sedentary time. Attitudes consistently affected sedentary time
through intention” (Prapavessis, 2015).
Kozey-Keadle, et. al., tested the reliability and validity of a 7-day sedentary time
questionnaire, which concluded that it generally overestimated sedentary time, but appeared to be
a useful tool for ranking individuals in a large scale observation (2014). The Theory of Planned
Behavior questionnaire was also assessed for bias and concluded a low risk of bias in the overall
quality (Oluka, 2014). The online intervention based on informational flyers was studied to reduce
sedentary behavior time among adults, which was monitored by the 7-day SLIPA Log, (Barwais,
2015), and concluded that “a significant decrease of 33% was found between the time spend in
sedentary activities measures at baseline and at the end of the 4-week intervention.”
In an effort to elucidate the factors associated with sedentary lifestyle within the employees of
the Town of Prosper, Texas, a needs assessment was performed within a controlled group of people
that represented the target population. The needs assessment was then used as the driving force for
the intervention involving online educational flyers and was used to help determine the evaluation
method of using the International Physical Activity Questionnaire – 7-day short version. The
hypothesis was that the participation rates within the wellness program would increase while the
sedentary time would decrease.
The main finding was that the intervention involving online educational flyers, which were
geared towards the needs of the target population, were proven to slightly increase awareness of
physical activity as determined by the IPAQ – 7-day. Much feedback was given by word of mouth of
the employees claiming that the online flyers increased awareness, which was possible due to the
small size of the target population. The participation rates for the wellness program events increased
by 23%, slightly below the hypothesis, while sedentary time decreased by 30%, slightly above the
hypothesis. This follows the results of the literature reviewed by Barwais (2015) and Kozey-Keadle
(2014).
A recommendation to improve the quality of the results would be to make questionnaires
such as the IPAQ and the Belief of Exercise Questionnaire mandatory for all employees. This would
increase participation rates which, in turn, would increase awareness throughout the target population.
Another recommendation would be to retest the question “define your current state of physical
exercise” in order to validate the success of the intervention. The final recommendation would be to
change the implementation of the questionnaires to be received during a less stressful time and,
therefore, more accurate results would be produced. Each participant would know the intents of using
the information of the questionnaires and, therefore, would produce more accurate results for each
participant. When looking at individual results, it seemed as if little thought went into completing the
questionnaires.
In summary, the present study concluded that a 7-day sedentary time questionnaire, along
with online educational flyers, were proven to be slightly effective with increasing awareness of
physical activity and wellness. However, the results were scarce due to the fact that the sample size
was small and, therefore, the results must be evaluated with that in consideration. While the
hypothesis was shown to be correct, a larger sample size would be more accurate.
Wellness Matters: A Needs Assessment for Town Employees of Prosper, TX
Tanner Lee
Department of Health and Human Performance
Texas State University
Methods
The target population for the research is the employees for the Town of
Prosper, TX, however the instrumentation will only use a portion of the entire
population. These participants were a sample group of 59 active employees who
accurately reflected the target population.
The research is derived from the Theory of Reasoned Action and Planned
Behavior (Ajzen, 1991) which will link beliefs and behavior from the target population.
This theory used behavioral evidence to drive the objective of observing progress and
reduction of sedentary time within the target population.
The instrumentation used to gather data was surveys and questionnaires.
The first instrument was a survey which evaluated the needs of the population by
asking a series of 13 questions. The priority issues was determined by allowing
participants to choose from a list of wellness topics and choosing: Low to High on a
scale of 1-5. The topics which had the most “high” interest levels were then chosen to
be included in the intervention. This was the driving force for the information used in
the weekly educational flyers. The second instrument was a questionnaire used to
directly to find information for the Theory of Reasoned Action and Planned Behavior
(Ajzen, 2006). This provided information such as behavioral beliefs, outcome
evaluation, and the subjective norm which are all utilized and evaluated. The final
instrument was another questionnaire to determine the short term evaluation of
physical activity within the past seven days (Craig, 2015).
The needs assessment was distributed through a paper format at an
employee lunch and learn towards the beginning of the semester consisting of 59
employees. The 13 question survey was taken at the time of the lunch and learn and
given back immediately. These answers were evaluated and discussed by the
Benefits and Wellness Committee.
The second and third instrument were combined into one questionnaire
which provided information about the theory and the past seven days of exercise.
This was given to the same group of people. The third instrument was then given by
itself to evaluate the success of the weekly flyers and to see any change in sedentary
time throughout the week. A sample size was gathered and the International Physical
Activity Questionnaire (IPAQ) was distributed to observe progress and improvement
within physical activity. This questionnaire was distributed twice and the data was
compared to show physical activity levels on a short term scale. The final instrument
used consisted of the participation log of employees for each activity provided.
The key wellness topics which were determined as top priority by the needs
assessment included: physical activity, nutrition, weight management, skin cancer, and work/life
balance. The results are shown in figure 1. These were the driving force to determine the
information for the intervention of informational flyers and to determine the IPAQ.
After the first IPAQ was distributed, the question “During the last 7 days, how much time
did you spend sitting on a week day?” was evaluated and had 12 responses that averaged to 6
hours a day. After the 4-week intervention, the IPAQ was given again and a total of 10 responses
that averaged to 4.2 hours a day. This is shown in figure 2. The amount of sedentary time was
reduced by 30% in the 4-week intervention of online educational flyers.
When analyzing the Belief of Exercise Questionnaire, which directly correlated with the
Theory of Reasoned Action and Planned Behavior, questions were asked to determine their
current state, attitudes, subjective norms, and percieved behavioral control of physical exercise.
The majority of the participants (45%) claimed to “currently engage in some physical exercise
but not on a regular basis, which should be a test-retest correlation. The behavioral beliefs and
the outcome evaluations, both evaluating attitudes, directly correlated. These questions asked if
they believe physical activity would benefit them in many ways verses the importance of
improving those things. However, when asked if people important to them believe they should
participate in physical activity assessing the subjective norm, the likelihood was only slightly
above 1, between the domains of -3 and 3, claiming that their likelihood to change was positive
but very small. These graphs are shown on the handout. Prapavessis (2015) claims that
subjective norm is the strongest predictor for sedentary behavior, therefore the likelihood of
change is small among the target population.
When assessing the participation logs between the month of October for year 2014 and
2015, the amount of total employees as well as the number of events were taken into account. In
2014, four activities were offered and an average of 17% of employees attended each event. In
2015, five activities were offered and an average of 22.1% of employees attended each event.
There was an increase of participants in one year by 23%. This is shown in Figure 3.
References
Ajzen, I. (1991). Theory of Planned Behaviour Questionnaire. Retrieved September 28, 2015
Ajzen, I. (2006). Constructing a TpB Questionnaire: Conceptual and Methodological Considerations. Retrieved
September 28, 2015
Barwais, F., & Cuddihy, T. (2015, January 5). Empowering Sedentary Adults to Reduce Sedentary Behavior and Increase
Physical Activity Levels and Energy Expenditure: A Pilot Study. Retrieved September 21, 2015.
Craig, C., Marshall, A., Sjo Stro M, M., & Bauman, A. (2015, September 27). International Physical Activity
Questionnaire: 12-Country Reliability and Validity. Retrieved September 28, 2015
Kozey-Keadle, W., Bourdeaudhuij I, D., & JG, G. (2014, June 1). Reliability and validity of a domain-specific last
7-d sedentary time questionnaire. Retrieved September 23, 2015
Prapavessis, H., Gaston, A., & DeJesus, S. (2015, February 3). The Theory of Planned Behavior as a model for
understanding sedentary behavior. Retrieved September 28, 2015
Data Analysis
The data taken from the needs assessment, the IPAQ – 7-day, the Belief of
Exercise Questionnaire, and the participation logs were all created and compiled
into bar graphs which represent the target population. This data represents each
specific instrument and used to easily see the needs of the participants as well as
the change after a 4-week intervention. The surveys and questionnaire were
created using the www.surveymonkey.com website and compile.
Figure 1
17%
22.1%
0%
5%
10%
15%
20%
25%
2014 (135
employees)
2015 (141
employees)
Percent Attended
Figure 2 Figure 3
0
5
10
15
20
25
30
35
40
Allergies
Asthmas
BackInjuryPrevention
BoneHealth
CholesterolManagement
Cold/FluPrevention
EmotionalHealth
VisionHealth
HighBloodPressure
Men'sHealth
Nutrition*
PhysicalActivity*
SkinCancer*
SmokingCessation
StressManagement
Walking
WeightManagement*
Women'sHealth
Work/LifeBalance*
Low
Medium Low
Medium
Medium High
High
6
4.2
0
1
2
3
4
5
6
7
Log 1 Log 2 - After
Intervention
Average Sedentary Time (in hours)